Orthotic and prosthetic management follow-up visit

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

HB=PT ORTH/PROS MGMT/TRAIN SUBSQ ENC EA 15 MIN

Payers reporting CPT 97763

Payer pricing summary

Low

$42

Average

$564

Median

$109

High

$9.9k

Payer rate distribution

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#
1	Bcbs Mt percent of total billed charges · outpatientfrom % of charges	1	$65	$65	$7	11%	76	$58 – $77
2	UnitedHealthcare fee schedule · outpatient · +34 other terms	565	$50	$96	$109	114%	39–66	$1 – $1.1k
3	Bcbs In fee schedule · both	11	$95	$95	$0	0%	5–50	$95 – $95
4	Aetna fee schedule · outpatient · +35 other terms	592	$52	$134	$341	254%	3–30	$1 – $8.4k
5	Cigna fee schedule · outpatient · +34 other terms	238	$69	$114	$96	84%	2–20	$8 – $1.8k
6	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	451	$76	$118	$163	138%	1–10	$1 – $6.9k
7	Humana fee schedule · outpatient · +32 other terms	408	$49	$65	$70	108%	1–10	$1 – $460
8	Molina fee schedule · outpatient · +31 other terms	206	$64	$65	$33	51%	1–10	$1 – $354
9	WellCare fee schedule · outpatient · +22 other terms	255	$48	$49	$6	13%	—	$15 – $78
10	Anthem fee schedule · outpatient · +31 other terms	166	$54	$83	$84	101%	—	$20 – $588
11	Devoted fee schedule · outpatient · +17 other terms	164	$47	$47	$4	8%	—	$40 – $56
12	Cigna Healthspring fee schedule · outpatient · +9 other terms	126	$49	$48	$3	7%	—	$43 – $59
13	Tricare facility · fee schedule · outpatient · +19 other terms	99	$47	$52	$31	59%	—	$41 – $275
14	Ambetter facility · fee schedule · outpatient · +20 other terms	92	$77	$81	$25	31%	—	$50 – $160
15	Kaiser fee schedule · outpatient · +24 other terms	90	$75	$100	$88	88%	—	$40 – $424
16	Oscar fee schedule · outpatient · +19 other terms	71	$58	$63	$29	46%	—	$1 – $136
17	Caresource fee schedule · outpatient · +20 other terms	69	$48	$127	$64	51%	—	$1 – $186
18	MultiPlan fee schedule · outpatient · +19 other terms	69	$109	$116	$64	55%	—	$39 – $277
19	Optum fee schedule · outpatient · +23 other terms	64	$51	$88	$69	78%	—	$42 – $305
20	Medicare fee schedule · both · +15 other terms	62	$48	$55	$5	9%	—	$44 – $70
21	Amerihealth Caritas fee schedule · outpatient · +14 other terms	59	$55	$51	$13	26%	—	$34 – $99
22	Medicaid facility · fee schedule · outpatient · +16 other terms	47	$44	$51	$22	44%	—	$40 – $147
23	Aetna Better Health fee schedule · outpatient · +17 other terms	43	$40	$43	$7	16%	—	$26 – $54
24	Superior Healthplan fee schedule · outpatient · +4 other terms	43	$49	$49	$4	8%	—	$45 – $83
25	Medica facility · fee schedule · outpatient · +21 other terms	40	$50	$49	$8	16%	—	$23 – $86

Page 1 of 3 · 69 payers