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

Tennessee 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 $2,512 · 10th–90th $1,413$21,3800%20%10th90th$2,512Professionalmedian $1,738 · 10th–90th $1,413$2,8180%20%10th90th$1,738$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
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,584.89
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,454.71
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$26,302.68
Typical High
$26,302.68
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,454.71
Typical High
$3,388.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,659.59
Typical High
$2,511.89