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Above-Knee Pelvic Control Belt, Light

Washington rates for HCPCS L5692

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

Rates data updated July 2026.

Facilitymedian $186 · 10th–90th $123$3890%20%10th90th$186Professionalmedian $155 · 10th–90th $79$3160%10%10th90th$155$2.0$10.0$50.0$200.0$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
$123.03
Median
$123.03
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$933.25
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$181.97
Typical High
$186.21
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$208.93
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$239.88
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$208.93
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$158.49
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$186.21
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$186.21
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$371.54
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$181.97
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$186.21
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$218.78
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$114.82
Typical High
$154.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$162.18
Typical High
$288.40