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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 October 2026.

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

$5,623

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $3,388 to $6,026.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $2,455 to $4,365Professionalmedian $5,623 · 10th to 90th $3,388 to $6,026
$2K$5Kfacility $4,365professional $5,623

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,454.71
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
None
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
HMSA
Setting
Professional
Modifier
None
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$5,623.41
Typical High
$7,244.36
United
Setting
Professional
Modifier
None
Typical Low
$3,801.89
Median
$6,025.60
Typical High
$6,025.60
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44

Where Hawaii sits

The same service costs 3.2 times more in Hawaii than in Washington, DC. 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.

Hawaii· 1st of 51

$5,623

HI $5,623DC $1,778

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.