go back

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

Vermont 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 $2,455 · 10th–90th $2,188$2,5120%20%40%10th90th$2,455Professionalmedian $1,820 · 10th–90th $1,660$2,5120%20%40%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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,454.71
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,290.87
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,511.89
Typical High
$6,760.83