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Above-Knee Pelvic Control Belt, Light

Massachusetts rates for HCPCS L5692

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

Rates data updated July 2026.

Facilitymedian $138 · 10th–90th $83$5890%10%20%10th90th$138Professionalmedian $166 · 10th–90th $81$2510%20%40%10th90th$166$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$263.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$1,023.29
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$154.88
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$125.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$251.19
Health New England
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$1,023.29
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$154.88
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$120.23
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$144.54
Typical High
$165.96