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

South Carolina 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 $2,344 · 10th–90th $1,479$4,4670%20%10th90th$2,344Professionalmedian $1,820 · 10th–90th $1,479$2,8840%20%10th90th$1,820$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
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,621.81
Typical High
$2,884.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,019.95
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,884.03
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,454.71
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$4,466.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,137.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,754.23
Typical High
$5,248.07
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,511.89
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,659.59
Typical High
$2,511.89