go back

Lower Extremity Prosthesis Addition, Vertical Shock Pylon

New Jersey rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Rates data updated July 2026.

Facilitymedian $871 · 10th–90th $871$2,3990%50%90th$871Professionalmedian $1,175 · 10th–90th $912$2,3440%10%20%10th90th$1,175$1.0K$2.0K$5.0K$10.0K

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
$870.96
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,348.96
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,348.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,187.76
Typical High
$3,162.28
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,344.23