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Pelvic Joint, Above-Knee or Knee Disarticulation

Missouri 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 $107$4470%20%10th90th$195Professionalmedian $135 · 10th–90th $107$2880%20%10th90th$135$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
$107.15
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$1,288.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$134.90
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$524.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$87.10
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
$91.20
Median
$117.49
Typical High
$181.97