Replacement soft interface 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

Removable soft interface le

Payers reporting HCPCS K0672

Payer pricing summary

Low

$26

Average

$122

Median

$110

High

$286

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +11 other terms	396	$105	$122	$59	48%	—	$39 – $706
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	356	$106	$105	$24	23%	—	$46 – $351
3	Humana fee schedule · outpatient · +9 other terms	322	$105	$156	$167	107%	—	$51 – $806
4	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	228	$107	$123	$63	51%	—	$0 – $505
5	WellCare fee schedule · outpatient · +4 other terms	212	$108	$111	$16	15%	—	$100 – $198
6	Devoted fee schedule · outpatient · +3 other terms	173	$105	$105	$3	2%	—	$101 – $127
7	Molina fee schedule · outpatient · +6 other terms	139	$149	$144	$53	37%	—	$78 – $274
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$107	$107	$4	4%	—	$105 – $128
9	Cigna fee schedule · outpatient · +9 other terms	107	$108	$120	$32	27%	—	$101 – $306
10	Anthem fee schedule · outpatient · +8 other terms	82	$103	$152	$149	98%	—	$100 – $782
11	Kaiser fee schedule · outpatient · +3 other terms	70	$107	$170	$118	69%	—	$85 – $775
12	Ambetter facility · fee schedule · outpatient · +5 other terms	55	$184	$188	$44	24%	—	$100 – $262
13	Superior Healthplan fee schedule · outpatient	40	$110	$110	$1	0%	—	$103 – $110
14	Oscar fee schedule · outpatient · +3 other terms	38	$110	$134	$49	36%	—	$103 – $300
15	Clover fee schedule · outpatient · +2 other terms	37	$105	$105	$6	5%	—	$100 – $124
16	Optum fee schedule · outpatient · +2 other terms	35	$105	$138	$55	40%	—	$101 – $262
17	Caresource fee schedule · outpatient · +4 other terms	28	$105	$112	$20	17%	—	$105 – $204
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$110	$106	$7	6%	—	$88 – $112
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$126	$122	$7	6%	—	$104 – $126
20	Bcbs Tx fee schedule · outpatient	18	$103	$103	—	—	—	$103 – $103
21	Highmark facility · fee schedule · outpatient · +4 other terms	18	$172	$169	$71	42%	—	$98 – $288
22	Medicare fee schedule · outpatient · +1 other terms	18	$101	$102	$1	1%	—	$101 – $103
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$102	$101	$3	3%	—	$92 – $103
24	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$104	$120	$30	25%	—	$57 – $165
25	Medica facility · fee schedule · outpatient · +8 other terms	14	$102	$94	$27	28%	—	$35 – $173

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