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Above Knee (AK), Stubbies with Foot Blocks

Montana rates for HCPCS L5210

Above knee (AK), short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each

Rates data updated July 2026.

Facilitymedian $3,090 · 10th–90th $2,042$3,8900%20%10th90th$3,090Professionalmedian $2,455 · 10th–90th $933$6,0260%10%20%10th90th$2,455$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$2,454.71
Typical High
$15,488.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,311.31
Typical High
$3,311.31
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,090.30
Typical High
$6,025.60
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,090.30
Typical High
$6,025.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,090.30
Typical High
$4,168.69
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,454.71
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,187.76
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,445.44
Typical High
$2,238.72