HCPCS Code: L5940
Ultra-Light Material for Below-Knee Prosthetic (L5940)
Prices last updated: March 2026
Typical Healthcare System Prices
Private insurers typically reimburse about 2x the Medicare allowed amount.
Without insurance, providers typically charge 3–5x the Medicare allowed amount.
Original Medicare (Part B) covers 80% (~$544.00) after the $283 annual deductible. Your 20% coinsurance: ~$136.00. Medicare Advantage plans vary.
Estimated national averages. Actual costs vary by provider, region, and plan.
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About Ultra-Light Material for Below-Knee Prosthetic (L5940)
HCPCS code L5940 is the Medicare and insurance billing code for Ultra-Light Material for Below-Knee Prosthetic (L5940). This code is used by healthcare providers and insurance companies when prescribing and processing claims for this durable medical equipment (DME) item.
Knee braces and orthotic supports are prescribed to stabilize, protect, or immobilize the knee joint. They are commonly used after surgery, for chronic conditions like osteoarthritis, or during recovery from ligament injuries. Proper fitting is essential for effectiveness.
Many patients find that purchasing DME items like ultra-light material for below-knee prosthetic (l5940) directly on Amazon can be significantly cheaper than going through traditional healthcare channels, especially for those with high deductibles or limited insurance coverage.
Frequently Asked Questions
What is HCPCS code L5940?
HCPCS code L5940 is the Medicare and insurance billing code for Ultra-Light Material for Below-Knee Prosthetic (L5940). Healthcare providers use this code when prescribing and billing for this durable medical equipment (DME) item.
How much does Ultra-Light Material for Below-Knee Prosthetic (L5940) cost?
The typical private insurance price for Ultra-Light Material for Below-Knee Prosthetic (L5940) is $1,360.00. If paying cash without insurance, expect to pay around $2,390.00. The estimated Medicare Allowed Amount is $680.00. The same or equivalent product is available on Amazon for approximately $717.00.
How much does Medicare pay for Ultra-Light Material for Below-Knee Prosthetic (L5940)?
The estimated Medicare Allowed Amount for Ultra-Light Material for Below-Knee Prosthetic (L5940) is $680.00. Under Original Medicare Part B, Medicare covers 80% (approximately $544.00) after the annual deductible ($283 in 2026). Your 20% coinsurance would be approximately $136.00. Medicare Advantage plan costs vary.
Can I buy Ultra-Light Material for Below-Knee Prosthetic (L5940) on Amazon instead of through my insurance?
Yes. Many durable medical equipment items covered under HCPCS code L5940 are available on Amazon at up to 70% less than typical healthcare prices. This can be a smart option if you have a high deductible, high copay, or no insurance coverage for DME.
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