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Above-Knee Pelvic Control Belt, Light

Hawaii rates for HCPCS L5692

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

Rates data updated July 2026.

How much does Above-Knee Pelvic Control Belt, Light cost?

$295

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $120 to $295.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $107 · 10th to 90th $100 to $229Professionalmedian $295 · 10th to 90th $59 to $309
$100.0$200.0$500.0facility $107professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$269.15
Typical High
$363.08
HMSA
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$107.15
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$131.83
Typical High
$354.81

Where Hawaii sits

The same service costs 4.0 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $295 · 1st of 51
HI $295DE $74.13

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.