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Pelvic Joint, Above-Knee or Knee Disarticulation

South Carolina rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $148 · 10th–90th $100$3020%20%10th90th$148Professionalmedian $123 · 10th–90th $100$1910%20%10th90th$123$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
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$186.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$275.42
Medcost
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$151.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$186.21
Typical High
$380.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$72.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$169.82