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Nationwide rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Facilitymedian $355 · 10th–90th $200$1,1220%20%10th90th$355Professionalmedian $263 · 10th–90th $195$4790%20%10th90th$263$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $239.88 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $245.47 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $263.03 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $281.84 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $323.59 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $239.88 / $426.58