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

New Jersey 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 $1,288 · 10th–90th $1,288$3,6310%20%40%90th$1,288Professionalmedian $1,862 · 10th–90th $1,380$3,5480%10%20%10th90th$1,862$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
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,548.82
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,454.71
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,454.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,467.37
Typical High
$4,786.30
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,570.40
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,187.76
Typical High
$3,548.13