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Pelvic Joint, Above-Knee or Knee Disarticulation

Illinois 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 $117$1,2300%20%10th90th$240Professionalmedian $126 · 10th–90th $107$2570%20%10th90th$126$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$457.09
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$263.03
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$338.84
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$208.93