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Prosthetic Foot, SACH, Replacement

Texas rates for HCPCS L5971

All lower extremity prostheses, SACH foot, replacement only

Rates data updated July 2026.

Facilitymedian $224 · 10th–90th $120$5890%10%20%10th90th$224Professionalmedian $138 · 10th–90th $110$2400%20%10th90th$138$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$128.82
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$134.90
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$281.84
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$158.49
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,819.70
Typical High
$1,819.70
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$239.88
Typical High
$389.05
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$208.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$223.87
Typical High
$389.05
Providence
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$186.21
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$380.19