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

New Hampshire 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 $3,467 · 10th–90th $1,905$4,2660%20%10th90th$3,467Professionalmedian $2,291 · 10th–90th $1,549$2,9510%20%10th90th$2,291$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
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,905.46
Typical High
$2,290.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,715.35
Typical High
$4,265.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,454.71
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,290.87
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,511.89
Typical High
$2,951.21
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$4,897.79