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Joint Covers, Below-Knee

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $48.98 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$28.18$25.12 to $33.11
FacilityA hospital or hospital-owned outpatient department$48.98$32.36 to $48.98

How much rates vary

Facilitymedian $49 · 10th to 90th $25 to $63Professionalmedian $28 · 10th to 90th $22 to $47
$20$100$500$2K$10Kfacility $49professional $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
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$25.12
Typical High
$28.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$60.26
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$29.51
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$29.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$48.98
Typical High
$67.61
Medcost
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$47.86
Medcost
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$34.67
Typical High
$64.57
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$28.18
Typical High
$31.62
Sentara
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$141.25
Sentara
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$35.48
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$23.99
Typical High
$38.02

Where Virginia 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.

Virginia· 28th 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.