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Pelvic Joint, Above-Knee or Knee Disarticulation

North Dakota rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $162 · 10th–90th $162$2750%50%90th$162Professionalmedian $209 · 10th–90th $135$2750%10%20%10th90th$209$100.0$200.0$500.0$1.0K

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
$162.18
Median
$162.18
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$338.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$218.78
Typical High
$489.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$169.82
Typical High
$275.42