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Above-Knee Pelvic Control Belt, Light

Vermont rates for HCPCS L5692

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

Rates data updated October 2026.

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

$100

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $72.44 to $151.

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.

How much rates vary

Facilitymedian $102 · 10th to 90th $100 to $138Professionalmedian $91 · 10th to 90th $72 to $158
$100$200$500facility $102professional $91

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$144.54
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$138.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$147.91
Typical High
$186.21
United
Setting
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$107.15
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$141.25
Typical High
$380.19

Where Vermont sits

The same service costs 4.1 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.

Vermont· 30th of 51

$100

HI $295DE $72.44

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.