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Prosthetic Foot, Flexible Keel

Virginia rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Rates data updated July 2026.

How much does Prosthetic Foot, Flexible Keel cost?

$269

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $427 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 8 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$245$224 to $302
FacilityA hospital or hospital-owned outpatient department$427$288 to $427

How much rates vary

Facilitymedian $427 · 10th to 90th $224 to $550Professionalmedian $245 · 10th to 90th $200 to $417
$200$500$1K$2K$5K$10Kfacility $427professional $245

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
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$251.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$562.34
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$602.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$426.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$309.03
Typical High
$549.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$251.19
Typical High
$281.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$1,258.93
Sentara
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$316.23
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$213.80
Typical High
$331.13

Where Virginia 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.

Virginia· 30th of 51

$269

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.