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Pelvic Joint, Above-Knee or Knee Disarticulation

Texas rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $204 · 10th–90th $117$6170%10%20%10th90th$204Professionalmedian $129 · 10th–90th $102$2340%20%10th90th$129$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
$117.49
Median
$125.89
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$346.74
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$331.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$169.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$331.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$218.78
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$169.82
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$269.15
Typical High
$363.08