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Pelvic Joint, Above-Knee or Knee Disarticulation

Louisiana rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $219 · 10th–90th $148$4790%10%20%10th90th$219Professionalmedian $145 · 10th–90th $93$2240%20%10th90th$145$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
$151.36
Median
$151.36
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$144.54
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$398.11
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$125.89
Typical High
$169.82