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Above Knee (AK), Stubbies with Articulated Ankle/Foot

Hawaii rates for HCPCS L5220

Above knee (AK), short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each

Rates data updated July 2026.

How much does Above Knee (AK), Stubbies with Articulated Ankle/Foot cost?

$5,623

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $2,512 to $5,623.

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 $2,455 · 10th to 90th $2,188 to $4,365Professionalmedian $5,623 · 10th to 90th $1,288 to $5,623
$2.0K$5.0K$10.0Kfacility $2,455professional $5,623

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
$1,288.25
Median
$1,288.25
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$5,128.61
Typical High
$6,918.31
HMSA
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,623.41
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,238.72
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,754.23
Typical High
$6,918.31

Where Hawaii sits

The same service costs 3.8 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $5,623 · 1st of 51
HI $5,623DE $1,479

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.