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Unclassified Lower Extremity Prosthesis

New York rates for HCPCS L5999

Lower extremity prosthesis, not otherwise specified

Rates data updated July 2026.

How much does Unclassified Lower Extremity Prosthesis cost?

$3,467

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $0.10 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 6 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$3,467$3,467 to $3,467
FacilityA hospital or hospital-owned outpatient department$0.10$0.10 to $64.57

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $53,703Professionalmedian $3,467 · 10th to 90th $45 to $3,467
$0.1$1$10$100$1K$10Kfacility $0professional $3,467

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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$79,432.82
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$64.57
Univera
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
Univera
Setting
Professional
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.10

Where New York sits

The same service costs 19952623.1 times more in Arkansas than in Louisiana. 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.

New York· 31st of 51

$3,467

AR $398,107LA $0.02

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.