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Pelvic Joint, Above-Knee or Knee Disarticulation

Virginia rates for HCPCS L5696

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

Rates data updated July 2026.

Facilitymedian $257 · 10th–90th $132$3160%20%40%10th90th$257Professionalmedian $135 · 10th–90th $105$2240%50%10th90th$135$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
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$134.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$275.42
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$257.04
Typical High
$354.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$251.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$169.82
Typical High
$316.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$144.54
Typical High
$165.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$741.31
Sentara
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$165.96
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$194.98