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Lower Extremity Prosthesis Addition, Adjustable Heel Height

Utah rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Rates data updated July 2026.

Facilitymedian $1,230 · 10th–90th $631$2,2390%20%40%10th90th$1,230Professionalmedian $1,230 · 10th–90th $631$9,3330%10%20%10th90th$1,230$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
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,621.81
Typical High
$2,089.30
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,238.72
Typical High
$2,238.72
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$2,398.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,187.76
Typical High
$2,238.72
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,238.72
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,288.25
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,513.56