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

Rhode Island 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 $5,623 · 10th–90th $1,950$7,9430%10%10th90th$5,623Professionalmedian $1,778 · 10th–90th $1,479$2,4550%20%10th90th$1,778$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,659.59
Typical High
$2,187.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$6,760.83
Typical High
$7,943.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,778.28
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,570.40
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$2,818.38