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Pelvic Joint, Above-Knee or Knee Disarticulation

Arizona rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $240 · 10th–90th $72$5890%10%10th90th$240Professionalmedian $132 · 10th–90th $95$2950%20%10th90th$132$0.2$1.0$5.0$20.0$100.0$500.0

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
$95.50
Median
$131.83
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$309.03
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$288.40
Typical High
$575.44
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
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$199.53
Typical High
$1,174.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$165.96