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Above-Knee Pelvic Control Belt, Light

Tennessee rates for HCPCS L5692

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

Rates data updated July 2026.

Facilitymedian $120 · 10th–90th $68$1,0230%20%10th90th$120Professionalmedian $78 · 10th–90th $68$1350%20%40%10th90th$78$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
$67.61
Median
$67.61
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$77.62
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$120.23