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Above-Knee Pelvic Control Belt, Light

Indiana rates for HCPCS L5692

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

Rates data updated July 2026.

Facilitymedian $162 · 10th–90th $76$2000%20%40%10th90th$162Professionalmedian $89 · 10th–90th $72$1450%20%40%10th90th$89$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
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$162.18
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$162.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$239.88
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
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$123.03