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Above-Knee Pelvic Control Belt, Light

Georgia rates for HCPCS L5692

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

Rates data updated July 2026.

Facilitymedian $162 · 10th–90th $66$6030%20%10th90th$162Professionalmedian $95 · 10th–90th $66$1620%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
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$134.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$389.05
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$131.83
Typical High
$218.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
CareSource
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$194.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$120.23
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$154.88