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Pelvic Joint, Above-Knee or Knee Disarticulation

Massachusetts rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $170 · 10th–90th $123$8910%10%20%10th90th$170Professionalmedian $229 · 10th–90th $117$3720%20%10th90th$229$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$389.05
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$1,445.44
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$223.87
Typical High
$346.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$173.78
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$371.54
Health New England
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$1,445.44
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$223.87
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$218.78
Typical High
$251.19