# HCPCS L5980: All lower extremity prostheses, flex foot system

Medicare HCPCS L5980 pays $5,104.65 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $4,539.15 in West Virginia to $6,928.90 in Puerto Rico, a 53% spread.

Web page: https://www.med-reveal.com/rates/L5980-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $5,104.65 |
| National facility | $5,104.65 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $6,928.90 | $6,928.90 |
| Colorado | $6,052.20 | $6,052.20 |
| Montana | $6,052.20 | $6,052.20 |
| North Dakota | $6,052.20 | $6,052.20 |
| South Dakota | $6,052.20 | $6,052.20 |
| Utah | $6,052.20 | $6,052.20 |
| Wyoming | $6,052.20 | $6,052.20 |
| New Jersey | $5,960.65 | $5,960.65 |
| New York | $5,960.65 | $5,960.65 |
| Virgin Islands | $5,960.63 | $5,960.63 |
| Hawaii | $5,805.29 | $5,805.29 |
| Alaska | $5,429.04 | $5,429.04 |
| Connecticut | $5,328.59 | $5,328.59 |
| Maine | $5,328.59 | $5,328.59 |
| Massachusetts | $5,328.59 | $5,328.59 |
| New Hampshire | $5,328.59 | $5,328.59 |
| Rhode Island | $5,328.59 | $5,328.59 |
| Vermont | $5,328.59 | $5,328.59 |
| Arizona | $5,166.71 | $5,166.71 |
| California | $5,166.71 | $5,166.71 |
| Nevada | $5,166.71 | $5,166.71 |
| Iowa | $5,051.89 | $5,051.89 |
| Kansas | $5,051.89 | $5,051.89 |
| Missouri | $5,051.89 | $5,051.89 |
| Nebraska | $5,051.89 | $5,051.89 |
| Idaho | $4,963.11 | $4,963.11 |
| Oregon | $4,963.11 | $4,963.11 |
| Washington | $4,963.11 | $4,963.11 |
| Arkansas | $4,801.22 | $4,801.22 |
| Louisiana | $4,801.22 | $4,801.22 |
| New Mexico | $4,801.22 | $4,801.22 |
| Oklahoma | $4,801.22 | $4,801.22 |
| Texas | $4,801.22 | $4,801.22 |
| Illinois | $4,677.59 | $4,677.59 |
| Indiana | $4,677.59 | $4,677.59 |
| Michigan | $4,677.59 | $4,677.59 |
| Minnesota | $4,677.59 | $4,677.59 |
| Ohio | $4,677.59 | $4,677.59 |
| Wisconsin | $4,677.59 | $4,677.59 |
| Alabama | $4,539.15 | $4,539.15 |
| Delaware | $4,539.15 | $4,539.15 |
| District of Columbia | $4,539.15 | $4,539.15 |
| Florida | $4,539.15 | $4,539.15 |
| Georgia | $4,539.15 | $4,539.15 |
| Kentucky | $4,539.15 | $4,539.15 |
| Maryland | $4,539.15 | $4,539.15 |
| Mississippi | $4,539.15 | $4,539.15 |
| North Carolina | $4,539.15 | $4,539.15 |
| Pennsylvania | $4,539.15 | $4,539.15 |
| South Carolina | $4,539.15 | $4,539.15 |
| Tennessee | $4,539.15 | $4,539.15 |
| Virginia | $4,539.15 | $4,539.15 |
| West Virginia | $4,539.15 | $4,539.15 |

## Related codes

- L5000: Partial foot prosthesis, shoe insert with longitudinal arch, toe filler — https://www.med-reveal.com/rates/L5000-hcpcs-fee-schedule
- L5010: Partial foot prosthesis, molded socket, ankle height, soft interface — https://www.med-reveal.com/rates/L5010-hcpcs-fee-schedule
- L5050: Ankle symes prosthesis, molded socket — https://www.med-reveal.com/rates/L5050-hcpcs-fee-schedule
- L5100: Below knee prosthesis, molded socket, shin, SACH foot — https://www.med-reveal.com/rates/L5100-hcpcs-fee-schedule
- L5200: Above knee prosthesis, molded socket, single axis constant friction knee — https://www.med-reveal.com/rates/L5200-hcpcs-fee-schedule
- L5301: Below knee prosthesis, molded socket, shin, SACH foot, endoskeletal system — https://www.med-reveal.com/rates/L5301-hcpcs-fee-schedule
- L5321: Above knee prosthesis, molded socket, open end, endoskeletal system — https://www.med-reveal.com/rates/L5321-hcpcs-fee-schedule
- L5400: Immediate post-surgical or early fitting, application of initial rigid dressing — https://www.med-reveal.com/rates/L5400-hcpcs-fee-schedule

Commercial negotiated rates for L5980 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules