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Nationwide rates for HCPCS L5999

Lower extremity prosthesis, not otherwise specified

Facilitymedian $65 · 10th–90th $50$1,0720%20%10th90th$65Professionalmedian $3,467 · 10th–90th $120$3,4670%50%10th$3,467$0.0$0.5$10.0$200.0$5.0K$100.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $223.87 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $63.10 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $1.00 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $50.12 / $38,018.94