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Pelvic Joint, Above-Knee or Knee Disarticulation

Kansas rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $195 · 10th–90th $71$2450%20%10th90th$195Professionalmedian $219 · 10th–90th $110$2190%50%10th$219$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
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$199.53
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$275.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$165.96
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$125.89
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$169.82