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Joint Covers, Below-Knee

New Jersey rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Rates data updated July 2026.

How much does Joint Covers, Below-Knee cost?

$23.99

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $23.99 from a physician practice, and about $17.78 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$23.99$20.89 to $41.69
FacilityA hospital or hospital-owned outpatient department$17.78$17.38 to $35.48

How much rates vary

Facilitymedian $18 · 10th to 90th $17 to $49Professionalmedian $24 · 10th to 90th $19 to $48
$20$50$100$200facility $18professional $24

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.39
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$29.51
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$29.51
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$45.71
Typical High
$63.10
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$48.98
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.84
Typical High
$47.86

Where New Jersey sits

The same service costs 5.0 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 47th of 51

$23.99

HI $107DE $21.38

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.