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Pelvic Joint, Above-Knee or Knee Disarticulation

Oklahoma rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $138 · 10th–90th $115$3090%20%10th90th$138Professionalmedian $120 · 10th–90th $93$1660%20%10th90th$120$50.0$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
$114.82
Median
$114.82
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$134.90
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
$257.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$128.82
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$218.78
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$165.96