Pelvic control belt for above-knee prosthesis

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

Ak pelvic control belt light

Payers reporting HCPCS L5692

Payer pricing summary

Low

$56

Average

$243

Median

$202

High

$639

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +14 other terms	361	$171	$214	$119	56%	—	$78 – $1.5k
2	UnitedHealthcare fee schedule · outpatient · +17 other terms	358	$168	$180	$51	28%	—	$73 – $633
3	Humana fee schedule · outpatient · +13 other terms	319	$168	$292	$356	122%	—	$85 – $1.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	219	$213	$250	$133	53%	—	$0 – $1.0k
5	WellCare fee schedule · outpatient · +5 other terms	208	$196	$208	$33	16%	—	$157 – $317
6	Devoted fee schedule · outpatient · +5 other terms	165	$168	$199	$25	13%	—	$162 – $232
7	Molina fee schedule · outpatient · +10 other terms	140	$254	$283	$114	40%	—	$76 – $568
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$174	$202	$22	11%	—	$163 – $223
9	Cigna fee schedule · outpatient · +13 other terms	102	$195	$204	$56	28%	—	$159 – $477
10	Anthem fee schedule · outpatient · +12 other terms	80	$168	$230	$214	93%	—	$92 – $1.2k
11	Kaiser fee schedule · outpatient · +10 other terms	64	$172	$307	$230	75%	—	$162 – $1.4k
12	Ambetter facility · fee schedule · outpatient · +7 other terms	46	$293	$307	$66	22%	—	$118 – $407
13	Superior Healthplan fee schedule · outpatient	40	$228	$228	$1	0%	—	$213 – $228
14	Clover fee schedule · outpatient · +3 other terms	37	$163	$178	$27	15%	—	$159 – $228
15	Oscar fee schedule · outpatient · +4 other terms	36	$213	$228	$63	28%	—	$171 – $369
16	Optum fee schedule · outpatient · +4 other terms	33	$165	$251	$135	54%	—	$157 – $542
17	Caresource fee schedule · outpatient · +5 other terms	28	$163	$175	$48	27%	—	$92 – $251
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$166	$154	$45	29%	—	$54 – $325
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$195	$191	$8	4%	—	$171 – $195
20	Bcbs Tx fee schedule · outpatient	18	$213	$213	—	—	—	$213 – $213
21	Medicare fee schedule · outpatient · +1 other terms	18	$162	$162	$1	1%	—	$162 – $165
22	Regence facility · fee schedule · outpatient · +7 other terms	17	$175	$175	$6	3%	—	$159 – $183
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$163	$188	$47	25%	—	$89 – $257
24	Tricare facility · fee schedule · outpatient · +4 other terms	15	$165	$164	$5	3%	—	$146 – $168
25	Highmark facility · fee schedule · outpatient · +5 other terms	14	$295	$289	$120	41%	—	$161 – $479

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