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Above-Knee Pelvic Control Belt, Light

Maine 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?

$120

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $195 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$107$95.50 to $166
FacilityA hospital or hospital-owned outpatient department$195$126 to $224

How much rates vary

Facilitymedian $195 · 10th to 90th $100 to $240Professionalmedian $107 · 10th to 90th $83 to $166
$100$200$500facility $195professional $107

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
$83.18
Median
$100.00
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$223.87
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$199.53
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$100.00
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$104.71
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$162.18
Typical High
$165.96

Where Maine sits

The same service costs 4.0 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 16th of 51

$120

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.