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

Nebraska 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 $3,715 · 10th–90th $2,188$7,7620%20%10th90th$3,715Professionalmedian $1,862 · 10th–90th $1,380$2,7540%20%40%10th90th$1,862$1.0K$2.0K$5.0K$10.0K$20.0K

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
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,862.09
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$4,466.84
Typical High
$7,762.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,981.07
Typical High
$17,782.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,187.76
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$9,772.37
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$9,120.11
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,019.95
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,187.76
Typical High
$2,884.03