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Above-Knee Pelvic Control Belt, Light

Arizona rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $56$4680%10%10th90th$182Professionalmedian $95 · 10th–90th $68$2240%20%10th90th$95$0.2$1.0$5.0$20.0$100.0$500.0

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
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$181.97
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$239.88
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$141.25
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$79.43
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$120.23