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Above-Knee Pelvic Control Belt, Light

Utah rates for HCPCS L5692

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

Rates data updated July 2026.

Facilitymedian $100 · 10th–90th $51$1660%20%40%10th90th$100Professionalmedian $100 · 10th–90th $51$9330%10%10th90th$100$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
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$93.33
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$120.23
Typical High
$154.88
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$165.96
Typical High
$165.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$208.93
Select Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$169.82
Typical High
$190.55
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$107.15
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$79.43
Typical High
$123.03