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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.

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

$155

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $162 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 5 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$135$85.11 to $174
FacilityA hospital or hospital-owned outpatient department$162$138 to $174

How much rates vary

Facilitymedian $162 · 10th to 90th $117 to $229Professionalmedian $135 · 10th to 90th $51 to $316
$100$200$500$1Kfacility $162professional $135

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Montana 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.

Montana· 9th of 51

$155

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.