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Above-Knee Pelvic Control Belt, Light

Iowa rates for HCPCS L5692

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

Rates data updated July 2026.

Facilitymedian $151 · 10th–90th $105$4470%10%20%10th90th$151Professionalmedian $123 · 10th–90th $69$2290%10%20%10th90th$123$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
$100.00
Median
$134.90
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$123.03
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$186.21
Typical High
$229.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$239.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$239.88
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$123.03
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$223.87
Typical High
$251.19
Midlands
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$173.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$190.55