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Prosthetic Foot, Flexible Keel

Michigan rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Rates data updated July 2026.

How much does Prosthetic Foot, Flexible Keel cost?

$275

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $562 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 7 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$275$240 to $479
FacilityA hospital or hospital-owned outpatient department$562$316 to $955

How much rates vary

Facilitymedian $562 · 10th to 90th $275 to $1,820Professionalmedian $275 · 10th to 90th $209 to $479
$200$500$1K$2Kfacility $562professional $275

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,445.44
Typical High
$2,754.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$501.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$295.12
Typical High
$524.81
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$912.01
Typical High
$1,023.29
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$380.19
Typical High
$588.84
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$338.84

Where Michigan 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.

Michigan· 28th of 51

$275

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.