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Pelvic Control, Band and Belt, Bilateral

Wisconsin rates for HCPCS L2640

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

Rates data updated July 2026.

Facilitymedian $389 · 10th–90th $295$7760%20%40%10th90th$389Professionalmedian $363 · 10th–90th $191$6460%20%10th90th$363$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$630.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$891.25
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$562.34
Typical High
$724.44
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$478.63
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$380.19
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$426.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$177.83
Network Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Network Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$758.58
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$478.63
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$380.19
Typical High
$501.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$1,122.02
Quartz
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$776.25
Typical High
$2,137.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$575.44
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$218.78
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$363.08