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All Lower Extremity Prostheses, Flex-Foot System

New Jersey rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Rates data updated July 2026.

How much does All Lower Extremity Prostheses, Flex-Foot System cost?

$2,570

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2,570 for this service. The price depends on where it is billed: about $2,570 from a physician practice, and about $2,138 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 5 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$2,570$2,089 to $3,890
FacilityA hospital or hospital-owned outpatient department$2,138$2,138 to $3,311

How much rates vary

Facilitymedian $2,138 · 10th to 90th $2,138 to $6,026Professionalmedian $2,570 · 10th to 90th $1,905 to $5,888
$2K$5K$10K$20Kfacility $2,138professional $2,570

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
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,290.87
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,754.23
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,754.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,623.41
Typical High
$7,762.47
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$3,388.44
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$5,888.44

Where New Jersey sits

The same service costs 2.9 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.

New Jersey· 37th of 51

$2,570

HI $5,754DE $1,995

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.