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Joint Covers, Below-Knee

Oklahoma 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?

$28.84

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $31.62 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$27.54$21.38 to $30.90
FacilityA hospital or hospital-owned outpatient department$31.62$27.54 to $54.95

How much rates vary

Facilitymedian $32 · 10th to 90th $28 to $74Professionalmedian $28 · 10th to 90th $20 to $36
$20$50$100$200facility $32professional $28

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
$27.54
Median
$27.54
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$27.54
Typical High
$30.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$54.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$30.20
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$51.29
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.99
Typical High
$35.48

Where Oklahoma 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.

Oklahoma· 30th of 51

$28.84

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.