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Lower Extremity Prosthesis Addition, Vertical Shock Pylon

Idaho rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Rates data updated July 2026.

Facilitymedian $2,239 · 10th–90th $1,349$2,9510%50%10th90th$2,239Professionalmedian $1,738 · 10th–90th $1,000$2,6300%20%10th90th$1,738$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,513.56
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,238.72
Typical High
$3,801.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,630.27
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,348.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,137.96
Typical High
$2,511.89
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,290.87
Typical High
$2,398.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$2,041.74
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,290.87
Typical High
$2,290.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,630.27
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,454.71
Typical High
$3,630.78
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,290.87
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$1,621.81
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$1,659.59