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Lower Extremity Prosthesis Addition, Vertical Shock Pylon

Kentucky rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Rates data updated July 2026.

Facilitymedian $1,445 · 10th–90th $1,148$3,3880%20%10th90th$1,445Professionalmedian $1,202 · 10th–90th $1,047$1,6220%50%10th90th$1,202$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
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,174.90
Typical High
$1,621.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,454.71
Typical High
$2,570.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,288.25
Typical High
$1,445.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,235.94
Typical High
$4,265.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,388.44
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,659.59
Typical High
$11,748.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,621.81
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,621.81
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$1,659.59