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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 July 2026.

Facilitymedian $162 · 10th–90th $117$2290%20%40%10th90th$162Professionalmedian $135 · 10th–90th $51$3160%10%10th90th$135$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$51.29
Median
$134.90
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$173.78
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$162.18
Typical High
$316.23
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$162.18
Typical High
$316.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$158.49
Typical High
$251.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$128.82
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$120.23
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$79.43
Typical High
$123.03