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Pelvic Joint, Above-Knee or Knee Disarticulation

Vermont 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 $138$1740%20%10th90th$148Professionalmedian $138 · 10th–90th $138$1700%20%40%90th$138$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$138.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$154.88
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$575.44