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Joint Covers, Below-Knee

New York 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?

$29.51

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $29.51 for this service. The price depends on where it is billed: about $29.51 from a physician practice, and about $30.20 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 9 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$29.51$25.12 to $37.15
FacilityA hospital or hospital-owned outpatient department$30.20$25.12 to $50.12

How much rates vary

Facilitymedian $30 · 10th to 90th $21 to $74Professionalmedian $30 · 10th to 90th $21 to $69
$100$1K$10Kfacility $30professional $30

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
$23.44
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$23.44
Typical High
$37.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$97.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$29.51
Typical High
$75.86
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$39.81
Typical High
$39.81
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$31.62
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$79.43
Typical High
$186.21
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$51.29
Typical High
$93.33
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$26.30
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$30.20
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$36.31
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$31.62
Typical High
$81.28
Univera
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$29.51
Univera
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$30.20

Where New York 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 York· 27th of 51

$29.51

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.