Bilateral pelvic control belt for lower-extremity orthosis

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 Band, Bilateral

Payers reporting HCPCS L2640

Payer pricing summary

Low

$134

Average

$524

Median

$451

High

$1.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	370	$400	$435	$183	42%	—	$189 – $2.0k
2	Aetna fee schedule · outpatient · +15 other terms	361	$434	$503	$329	65%	—	$192 – $4.8k
3	Humana fee schedule · outpatient · +14 other terms	319	$401	$637	$719	113%	—	$198 – $3.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	220	$434	$563	$308	55%	—	$0 – $2.1k
5	WellCare fee schedule · outpatient · +7 other terms	208	$434	$460	$105	23%	—	$373 – $1.0k
6	Devoted fee schedule · outpatient · +4 other terms	165	$386	$424	$30	7%	—	$371 – $525
7	Molina fee schedule · outpatient · +8 other terms	140	$604	$603	$230	38%	—	$232 – $1.2k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$413	$431	$23	5%	—	$386 – $530
9	Cigna fee schedule · outpatient · +13 other terms	105	$405	$484	$204	42%	—	$331 – $2.0k
10	Anthem fee schedule · outpatient · +8 other terms	80	$386	$542	$509	94%	—	$219 – $2.9k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$394	$737	$570	77%	—	$371 – $3.4k
12	Ambetter facility · fee schedule · outpatient · +7 other terms	46	$695	$736	$158	21%	—	$280 – $1.1k
13	Caresource fee schedule · outpatient · +5 other terms	41	$386	$388	$77	20%	—	$211 – $597
14	Superior Healthplan fee schedule · outpatient	40	$464	$464	$2	0%	—	$434 – $464
15	Clover fee schedule · outpatient · +3 other terms	37	$505	$464	$47	10%	—	$386 – $515
16	Oscar fee schedule · outpatient · +4 other terms	36	$433	$500	$148	30%	—	$405 – $875
17	Optum fee schedule · outpatient · +4 other terms	33	$386	$541	$257	48%	—	$371 – $1.1k
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$395	$362	$95	26%	—	$129 – $643
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$402	$410	$17	4%	—	$386 – $449
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$463	$452	$22	5%	—	$394 – $463
21	Bcbs Tx fee schedule · outpatient	18	$434	$434	—	—	—	$434 – $434
22	Medicare fee schedule · outpatient · +3 other terms	18	$371	$372	$3	1%	—	$371 – $379
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$386	$413	$53	13%	—	$379 – $515
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$386	$447	$111	25%	—	$210 – $610
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$708	$720	$312	43%	—	$371 – $1.4k

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