go back

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

Oregon 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 $3,802 · 10th–90th $3,311$4,3650%20%40%10th90th$3,802Professionalmedian $3,236 · 10th–90th $1,479$4,8980%10%20%10th90th$3,236$5.0$20.0$100.0$500.0$2.0K$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
$1,445.44
Median
$1,995.26
Typical High
$3,235.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
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
$1,819.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$7,413.10
Typical High
$9,120.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$4,466.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,548.13
Typical High
$4,897.79
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,265.80
Typical High
$4,365.16
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,981.07
Typical High
$4,365.16
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,548.13
Typical High
$4,786.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,801.89
Typical High
$4,570.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,570.88
Typical High
$17,378.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,897.79
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$2,238.72
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,659.59
Typical High
$3,162.28