go back

Lower Extremity Prosthesis Addition, Vertical Shock Pylon

Utah rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Rates data updated July 2026.

Facilitymedian $1,349 · 10th–90th $692$2,4550%20%40%10th90th$1,349Professionalmedian $1,349 · 10th–90th $692$10,2330%10%10th90th$1,349$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
$691.83
Median
$691.83
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,778.28
Typical High
$2,290.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,454.71
Typical High
$2,454.71
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,737.80
Typical High
$2,630.27
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,398.83
Typical High
$2,511.89
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,511.89
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,659.59