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Prosthetic Foot, Flexible Keel

Maine rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Rates data updated July 2026.

How much does Prosthetic Foot, Flexible Keel cost?

$316

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $513 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 6 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$282$251 to $427
FacilityA hospital or hospital-owned outpatient department$513$331 to $589

How much rates vary

Facilitymedian $513 · 10th to 90th $282 to $631Professionalmedian $282 · 10th to 90th $214 to $427
$200$500$1Kfacility $513professional $282

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
$213.80
Median
$251.19
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$588.84
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$295.12
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$512.86
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$281.84
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$426.58
Typical High
$426.58

Where Maine sits

The same service costs 3.7 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.

Maine· 17th of 51

$316

HI $741DE $200

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.