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Unclassified Lower Extremity Prosthesis

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $3,467 for this service. Most negotiated rates run $3,467 to $64,565.

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.

How much rates vary

Facilitymedian $8,511 · 10th to 90th $65 to $77,625Professionalmedian $3,467 · 10th to 90th $3,467 to $64,565
$100$1K$10Kfacility $8,511professional $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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
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
$35.48
Median
$208.93
Typical High
$51,286.14
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87

Where Pennsylvania 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.

Pennsylvania· 30th 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.