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Pelvic Joint, Above-Knee or Knee Disarticulation

New Jersey rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $89 · 10th–90th $89$2450%20%40%90th$89Professionalmedian $120 · 10th–90th $93$2400%10%10th90th$120$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
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$114.82
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$138.04
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$234.42
Typical High
$323.59
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$169.82
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$239.88