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Pelvic Joint, Above-Knee or Knee Disarticulation

Florida rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $117 · 10th–90th $95$4170%20%10th90th$117Professionalmedian $117 · 10th–90th $95$1860%20%10th90th$117$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
Facility
Modifier
Global
Typical Low
$95.50
Median
$107.15
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$186.21
AvMed
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
AvMed
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$213.80
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$138.04
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$134.90
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$109.65
Typical High
$169.82
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$229.09