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Above-Knee Pelvic Control Sleeve Suspension

North Dakota rates for HCPCS L5695

Addition to lower extremity, above knee (AK), pelvic control, sleeve suspension, neoprene or equal, each

Rates data updated October 2026.

How much does Above-Knee Pelvic Control Sleeve Suspension cost?

$229

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $174 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$229$166 to $269
FacilityA hospital or hospital-owned outpatient department$174$174 to $174

How much rates vary

Facilitymedian $174 · 10th to 90th $123 to $427Professionalmedian $229 · 10th to 90th $98 to $269
$100$200$500$1Kfacility $174professional $229

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
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$173.78
Typical High
$173.78
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$269.15
Typical High
$269.15
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$239.88
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$229.09
Typical High
$281.84
Medica
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$173.78
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$147.91
Typical High
$190.55
United
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$147.91
Typical High
$190.55

Where North Dakota sits

The same service costs 3.0 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.

North Dakota· 5th of 51

$229

HI $275DE $93.33

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.