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Pelvic Joint, Above-Knee or Knee Disarticulation

Oregon rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $269 · 10th–90th $219$2950%20%40%10th90th$269Professionalmedian $214 · 10th–90th $102$3310%10%10th90th$214$0.2$2.0$20.0$200.0$2.0K

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
Professional
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$199.53
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
$102.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$489.78
Typical High
$616.60
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$223.87
Typical High
$302.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$239.88
Typical High
$331.13
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$295.12
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$331.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$257.04
Typical High
$309.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$1,148.15
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$0.18
Median
$151.36
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$213.80