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Pelvic Control, Band and Belt, Bilateral

Utah rates for HCPCS L2640

Addition to lower extremity, pelvic control, band and belt, bilateral

Rates data updated July 2026.

Facilitymedian $191 · 10th–90th $123$3800%20%40%10th90th$191Professionalmedian $229 · 10th–90th $123$2,1880%10%10th90th$229$50.0$100.0$200.0$500.0$1.0K$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
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$275.42
Typical High
$363.08
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$380.19
Typical High
$380.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$512.86
Select Health
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Select Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$467.74
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$288.40