go back

Above-Knee Pelvic Control Belt, Light

Montana rates for HCPCS L5692

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

Rates data updated October 2026.

How much does Above-Knee Pelvic Control Belt, Light cost?

$174

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $174 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$170$79.43 to $174
FacilityA hospital or hospital-owned outpatient department$174$170 to $9,550

How much rates vary

Facilitymedian $174 · 10th to 90th $110 to $9,772Professionalmedian $170 · 10th to 90th $79 to $186
$100$200$500$1K$2K$5K$10Kfacility $174professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$134.90
Typical High
$177.83
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$173.78
Typical High
$173.78
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$208.93
Typical High
$9,772.37
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$190.55
Typical High
$10,232.93
Providence
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$173.78
Typical High
$173.78
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$128.82
Typical High
$173.78
United
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$79.43
Typical High
$131.83

Where Montana sits

The same service costs 4.1 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.

Montana· 5th of 51

$174

HI $295DE $72.44

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.