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Hawaii rates for HCPCS L5696

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

Facilitymedian $148 · 10th–90th $138–$2820%20%10th90th$148Professionalmedian $170 · 10th–90th $105–$3630%10%20%10th90th$170$100.0$200.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $125.89 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $331.13 / $446.68
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $363.08 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $151.36 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $169.82 / $389.05