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Pelvic Joint, Above-Knee or Knee Disarticulation

Tennessee 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 $93$1,4450%20%10th90th$170Professionalmedian $115 · 10th–90th $93$1860%20%10th90th$115$0.2$1.0$5.0$20.0$100.0$500.0

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
$93.33
Median
$93.33
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$138.04
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$165.96