Flexible back brace with rigid rear panel

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

HC TLS FLEX TRUCK SUPPORT SJ-SS, PREFAB

Payers reporting HCPCS L0457

Payer pricing summary

Low

$281

Average

$948

Median

$843

High

$2.7k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +17 other terms	390	$742	$841	$517	61%	—	$1 – $6.2k
2	UnitedHealthcare fee schedule · outpatient · +19 other terms	386	$752	$876	$501	57%	—	$1 – $3.8k
3	Humana fee schedule · outpatient · +18 other terms	345	$765	$1.3k	$1.9k	149%	—	$1 – $9.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	245	$772	$975	$725	74%	—	$0 – $5.9k
5	WellCare fee schedule · outpatient · +10 other terms	225	$752	$775	$154	20%	—	$253 – $1.3k
6	Devoted fee schedule · outpatient · +6 other terms	174	$757	$741	$119	16%	—	$484 – $1.1k
7	Molina fee schedule · outpatient · +13 other terms	156	$883	$939	$399	43%	—	$1 – $2.6k
8	Cigna Healthspring fee schedule · outpatient · +3 other terms	123	$790	$754	$97	13%	—	$507 – $1.1k
9	Cigna fee schedule · outpatient · +18 other terms	116	$772	$1.2k	$909	74%	—	$340 – $4.2k
10	Anthem fee schedule · outpatient · +15 other terms	95	$752	$1.2k	$1.0k	81%	—	$248 – $4.9k
11	Kaiser fee schedule · outpatient · +13 other terms	79	$517	$907	$784	86%	—	$340 – $4.3k
12	Clover fee schedule · outpatient · +3 other terms	44	$765	$761	$104	14%	—	$660 – $1.1k
13	Superior Healthplan fee schedule · outpatient · +3 other terms	41	$765	$773	$49	6%	—	$709 – $1.1k
14	Ambetter facility · fee schedule · outpatient · +11 other terms	39	$1.2k	$1.5k	$572	38%	—	$722 – $2.5k
15	Oscar fee schedule · outpatient · +9 other terms	36	$718	$785	$156	20%	—	$578 – $1.3k
16	Caresource fee schedule · outpatient · +13 other terms	35	$772	$749	$227	30%	—	$1 – $1.0k
17	Optum fee schedule · outpatient · +7 other terms	32	$772	$936	$431	46%	—	$484 – $1.8k
18	Medicare fee schedule · outpatient · +5 other terms	24	$484	$621	$202	33%	—	$484 – $1.1k
19	Bcbs Tx fee schedule · outpatient	23	$709	$783	$140	18%	—	$709 – $1.0k
20	Regence facility · fee schedule · outpatient · +7 other terms	20	$527	$639	$260	41%	—	$282 – $1.1k
21	Amerihealth Caritas fee schedule · outpatient · +4 other terms	19	$927	$923	$111	12%	—	$691 – $1.2k
22	Tricare facility · fee schedule · outpatient · +10 other terms	18	$719	$764	$146	19%	—	$494 – $1.1k
23	Medica facility · fee schedule · outpatient · +13 other terms	16	$740	$778	$200	26%	—	$251 – $1.2k
24	Medical Mutual facility · fee schedule · outpatient · +6 other terms	15	$656	$779	$196	25%	—	$357 – $1.0k
25	Bcbs Mn fee schedule · outpatient · +7 other terms	13	$969	$959	$274	29%	—	$541 – $1.3k

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