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Above-Knee Pelvic Control Belt, Light

New Hampshire rates for HCPCS L5692

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

Rates data updated July 2026.

Facilitymedian $191 · 10th–90th $107$2340%20%10th90th$191Professionalmedian $126 · 10th–90th $74$1660%20%10th90th$126$50.0$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
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$128.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$204.17
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
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
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$109.65
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$165.96
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$269.15