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Pelvic Joint, Above-Knee or Knee Disarticulation

New Mexico rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $170 · 10th–90th $71$2950%10%10th90th$170Professionalmedian $138 · 10th–90th $110$3980%20%10th90th$138$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
$147.91
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$147.91
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$398.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$190.55
Typical High
$295.12
Providence
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$169.82
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$109.65
Typical High
$169.82