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Above-Knee Pelvic Control Belt, Light

Illinois rates for HCPCS L5692

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

Rates data updated July 2026.

Facilitymedian $162 · 10th–90th $79$8130%20%10th90th$162Professionalmedian $93 · 10th–90th $72$1860%20%40%10th90th$93$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$79.43
Median
$79.43
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$85.11
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$186.21
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$257.04
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$141.25