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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 July 2026.

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

$178

Typical negotiated rate. In West Virginia, July 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. 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 4 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$178$174 to $191
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 $166 to $214
$100.0$200.0$500.0$1.0Kfacility $174professional $178

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
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$190.55
CareSource
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$380.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$295.12

Where West Virginia sits

The same service costs 3.8 times more in Hawaii than in Tennessee. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $178 · 27th of 51
HI $525TN $138

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.