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Pelvic Joint, Above-Knee or Knee Disarticulation

New Hampshire rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $288 · 10th–90th $158$3550%20%40%10th90th$288Professionalmedian $191 · 10th–90th $112$2510%20%10th90th$191$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
$158.49
Median
$158.49
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$309.03
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
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
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$154.88
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$169.82
Typical High
$251.19
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$407.38