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Above-Knee Pelvic Control Belt, Light

Minnesota rates for HCPCS L5692

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

Rates data updated July 2026.

Facilitymedian $275 · 10th–90th $138$1,2880%20%10th90th$275Professionalmedian $158 · 10th–90th $120$1860%50%10th90th$158$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
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$120.23
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$158.49
Typical High
$234.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$234.42
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$1,288.25
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$251.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$158.49
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$107.15
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$107.15
Typical High
$218.78