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All Lower Extremity Prostheses, Foot, Multiaxial Ankle/Foot

Pennsylvania rates for HCPCS L5978

All lower extremity prostheses, foot, multiaxial ankle/foot

Rates data updated July 2026.

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

$182

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $479 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$182$158 to $275
FacilityA hospital or hospital-owned outpatient department$479$155 to $603

How much rates vary

Facilitymedian $479 · 10th to 90th $155 to $1,148Professionalmedian $182 · 10th to 90th $145 to $347
$1.0$10.0$100.0$1.0K$10.0Kfacility $479professional $182

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
$154.88
Median
$154.88
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$316.23
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$676.08
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$354.81
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$602.56
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$316.23
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$794.33
Typical High
$1,348.96
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$478.63
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$354.81

Where Pennsylvania sits

The same service costs 4.2 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $182 · 47th of 51
HI $646DE $155

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.