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

Massachusetts 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.

Facilitymedian $4,169 · 10th–90th $1,698$5,8880%20%10th90th$4,169Professionalmedian $2,951 · 10th–90th $1,479$4,5710%20%40%10th90th$2,951$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,659.59
Typical High
$4,677.35
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,467.37
Typical High
$21,379.62
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,691.53
Typical High
$4,168.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,466.84
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,454.71
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,630.27
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$4,466.84
Health New England
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,467.37
Typical High
$21,379.62
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,691.53
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,511.89
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,818.38
Typical High
$3,019.95