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Joint Covers, Below-Knee

West 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?

$23.99

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $23.99 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $23.44 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 4 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$25.12$23.44 to $25.12
FacilityA hospital or hospital-owned outpatient department$23.44$23.44 to $31.62

How much rates vary

Facilitymedian $23 · 10th to 90th $23 to $55Professionalmedian $25 · 10th to 90th $23 to $33
$20$50$100$200facility $23professional $25

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
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$25.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$64.57
CareSource
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$33.11
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$30.20
Typical High
$39.81

Where West 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.

West Virginia· 46th of 51

$23.99

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.