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Pelvic Control, Band and Belt, Bilateral

Washington rates for HCPCS L2640

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

Rates data updated July 2026.

Facilitymedian $447 · 10th–90th $309$9120%20%10th90th$447Professionalmedian $380 · 10th–90th $191$7410%10%10th90th$380$5.0$20.0$100.0$500.0$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
$309.03
Median
$309.03
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$2,187.76
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$457.09
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$512.86
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$562.34
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$501.19
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$354.81
Typical High
$389.05
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$457.09
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$457.09
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$676.08
Typical High
$912.01
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$446.68
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$457.09
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$512.86
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$371.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$398.11
Typical High
$707.95