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Lower Extremity Prosthesis Addition, Vertical Shock Pylon

West Virginia rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Rates data updated July 2026.

How much does Lower Extremity Prosthesis Addition, Vertical Shock Pylon cost?

$1,175

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $1,148 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,230$1,148 to $1,259
FacilityA hospital or hospital-owned outpatient department$1,148$1,148 to $1,413

How much rates vary

Facilitymedian $1,148 · 10th to 90th $1,148 to $2,512Professionalmedian $1,230 · 10th to 90th $1,148 to $1,622
$1K$2K$5K$10Kfacility $1,148professional $1,230

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,258.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$3,235.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,884.03
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
$977.24
Typical High
$11,748.98
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,513.56
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,479.11
Typical High
$1,949.84

Where West Virginia sits

The same service costs 2.3 times more in South Dakota than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 45th of 51

$1,175

SD $2,399DE $1,047

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.