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

Texas 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 $3,162 · 10th–90th $1,862$9,3330%10%10th90th$3,162Professionalmedian $1,995 · 10th–90th $1,549$3,7150%20%10th90th$1,995$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
$1,862.09
Median
$1,995.26
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,995.26
Typical High
$3,715.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$4,265.80
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$5,248.07
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,235.94
Typical High
$5,248.07
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,073.80
Typical High
$4,466.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,238.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,162.28
Typical High
$5,248.07
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,467.37
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,089.30
Typical High
$2,570.40
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$4,265.80
Typical High
$5,754.40