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Lower Extremity Prosthesis Addition, Vertical Shock Pylon

North Carolina rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Rates data updated July 2026.

Facilitymedian $1,862 · 10th–90th $1,096$4,0740%20%10th90th$1,862Professionalmedian $1,820 · 10th–90th $1,047$1,8620%50%10th90th$1,820$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
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,819.70
Typical High
$1,819.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,398.83
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,348.96
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,445.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,202.26
Typical High
$1,584.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,949.84
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,995.26
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,698.24
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$17,782.79