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Joint Covers, Below-Knee

Oregon 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?

$44.67

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $54.95 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 8 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$42.66$28.84 to $54.95
FacilityA hospital or hospital-owned outpatient department$54.95$44.67 to $56.23

How much rates vary

Facilitymedian $55 · 10th to 90th $45 to $60Professionalmedian $43 · 10th to 90th $21 to $63
$20$50$100$200facility $55professional $43

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
Professional
Modifier
Global
Typical Low
$20.42
Median
$28.84
Typical High
$39.81
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
$21.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$104.71
Typical High
$128.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$42.66
Typical High
$57.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$63.10
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$54.95
Typical High
$56.23
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$56.23
Typical High
$63.10
Providence
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$47.86
Typical High
$66.07
Providence
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$53.70
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$223.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$63.10
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$0.04
Median
$32.36
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$23.99
Typical High
$45.71

Where Oregon 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.

Oregon· 9th of 51

$44.67

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.