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Pelvic Joint, Above-Knee or Knee Disarticulation

Kentucky rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $148 · 10th–90th $105$3470%20%10th90th$148Professionalmedian $123 · 10th–90th $100$1660%20%40%10th90th$123$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
$104.71
Median
$104.71
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$229.09
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$134.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$302.00
Typical High
$389.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$275.42
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$173.78
Typical High
$1,230.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$154.88
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$169.82