Pelvic control band and belt for leg brace

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Pelvic control band & belt u

Payers reporting HCPCS L2630

Payer pricing summary

Low

$98

Average

$393

Median

$357

High

$975

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +15 other terms	359	$336	$368	$183	50%	—	$142 – $2.3k
2	UnitedHealthcare fee schedule · outpatient · +16 other terms	359	$330	$318	$142	45%	—	$1 – $1.9k
3	Humana fee schedule · outpatient · +15 other terms	317	$330	$482	$547	113%	—	$146 – $2.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	218	$330	$417	$226	54%	—	$0 – $1.6k
5	WellCare fee schedule · outpatient · +5 other terms	208	$330	$345	$67	19%	—	$275 – $676
6	Devoted fee schedule · outpatient · +3 other terms	165	$336	$329	$27	8%	—	$285 – $387
7	Molina fee schedule · outpatient · +7 other terms	138	$445	$455	$178	39%	—	$173 – $882
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$304	$330	$22	7%	—	$285 – $391
9	Cigna fee schedule · outpatient · +13 other terms	103	$361	$378	$187	49%	—	$279 – $1.7k
10	Anthem fee schedule · outpatient · +9 other terms	81	$372	$489	$454	93%	—	$163 – $2.1k
11	Kaiser fee schedule · outpatient · +8 other terms	65	$387	$553	$348	63%	—	$301 – $2.2k
12	Ambetter facility · fee schedule · outpatient · +7 other terms	46	$512	$542	$108	20%	—	$279 – $744
13	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$353	$353	$2	0%	—	$330 – $353
14	Clover fee schedule · outpatient · +2 other terms	37	$340	$329	$25	8%	—	$285 – $379
15	Oscar fee schedule · outpatient · +6 other terms	36	$330	$374	$108	29%	—	$299 – $645
16	Optum fee schedule · outpatient · +4 other terms	33	$365	$431	$186	43%	—	$275 – $841
17	Caresource fee schedule · outpatient · +5 other terms	28	$285	$306	$83	27%	—	$163 – $440
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$291	$274	$75	27%	—	$95 – $474
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$395	$361	$56	15%	—	$250 – $402
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$341	$333	$16	5%	—	$290 – $341
21	Bcbs Tx fee schedule · outpatient	18	$330	$330	—	—	—	$330 – $330
22	Medicare fee schedule · outpatient · +3 other terms	18	$365	$366	$3	1%	—	$365 – $372
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$285	$330	$82	25%	—	$155 – $450
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$285	$309	$35	11%	—	$279 – $372
25	Highmark facility · fee schedule · outpatient · +5 other terms	14	$522	$521	$219	42%	—	$273 – $911

Page 1 of 3 · 54 payers