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All Lower Extremity Prostheses, Foot, Single Axis Ankle/Foot

West Virginia rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Rates data updated October 2026.

How much does All Lower Extremity Prostheses, Foot, Single Axis Ankle/Foot cost?

$178

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $174 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$174 to $229
FacilityA hospital or hospital-owned outpatient department$174$174 to $186

How much rates vary

Facilitymedian $174 · 10th to 90th $174 to $324Professionalmedian $178 · 10th to 90th $129 to $398
$200$500$1Kfacility $174professional $178

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
CareSource
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
CareSource
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$338.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$1,621.81
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$229.09
Typical High
$323.59
United
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$213.80
Typical High
$398.11

Where West Virginia sits

The same service costs 4.0 times more in Hawaii than in Florida. 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.

West Virginia· 31st of 51

$178

HI $525FL $132

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.