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Pelvic Joint, Above-Knee or Knee Disarticulation

Alaska rates for HCPCS L5696

Addition to lower extremity, above knee (AK) or knee disarticulation, pelvic joint

Rates data updated July 2026.

Facilitymedian $138 · 10th–90th $71$3240%20%40%10th90th$138Professionalmedian $166 · 10th–90th $112$4570%10%20%10th90th$166$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$389.05
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$190.55
Typical High
$323.59
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$912.01
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$338.84
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$338.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$138.04
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$165.96
Typical High
$537.03