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

Montana 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 $3,548 · 10th–90th $2,455$4,6770%20%40%10th90th$3,548Professionalmedian $2,818 · 10th–90th $1,072$6,9180%20%10th90th$2,818$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
$1,071.52
Median
$2,754.23
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,801.89
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,801.89
Typical High
$3,801.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,548.13
Typical High
$6,918.31
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,548.13
Typical High
$6,918.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,548.13
Typical High
$4,897.79
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,818.38
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,511.89
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,659.59
Typical High
$2,570.40