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Joint Covers, Below-Knee

Vermont 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?

$26.92

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $26.92 for this service. Most negotiated rates run $23.44 to $30.20.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $32 · 10th to 90th $30 to $38Professionalmedian $26 · 10th to 90th $23 to $35
$20$50$100facility $32professional $26

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$29.51
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$35.48
Typical High
$95.50

Where Vermont 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.

Vermont· 38th of 51

$26.92

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.