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Pelvic Joint, Above-Knee or Knee Disarticulation

Nebraska rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $240 · 10th–90th $148$4790%20%10th90th$240Professionalmedian $117 · 10th–90th $93$1780%20%40%10th90th$117$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
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$229.09
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$1,174.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$147.91
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$630.96
Midlands
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$588.84
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$144.54
Typical High
$186.21