Scoliosis brace add-on: floating kyphosis pad

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

Kyphosis pad floating

Payers reporting HCPCS L1025

Payer pricing summary

Low

$46

Average

$206

Median

$183

High

$538

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +13 other terms	359	$149	$182	$93	51%	—	$73 – $958
2	UnitedHealthcare fee schedule · outpatient · +11 other terms	356	$147	$160	$39	25%	—	$70 – $475
3	Humana fee schedule · outpatient · +12 other terms	317	$146	$223	$230	103%	—	$98 – $1.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	218	$149	$209	$134	64%	—	$0 – $887
5	WellCare fee schedule · outpatient · +4 other terms	208	$148	$158	$41	26%	—	$140 – $373
6	Devoted fee schedule · outpatient · +4 other terms	165	$143	$145	$5	3%	—	$138 – $195
7	Molina fee schedule · outpatient · +5 other terms	138	$210	$207	$77	37%	—	$107 – $397
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$150	$150	$14	9%	—	$143 – $197
9	Cigna fee schedule · outpatient · +9 other terms	102	$150	$179	$73	41%	—	$138 – $560
10	Anthem fee schedule · outpatient · +8 other terms	81	$143	$233	$260	111%	—	$101 – $1.4k
11	Kaiser fee schedule · outpatient · +4 other terms	64	$146	$242	$170	70%	—	$138 – $1.1k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	45	$275	$295	$54	18%	—	$143 – $365
13	Superior Healthplan fee schedule · outpatient	40	$150	$150	$1	0%	—	$140 – $150
14	Clover fee schedule · outpatient · +2 other terms	37	$187	$169	$18	11%	—	$146 – $191
15	Oscar fee schedule · outpatient · +3 other terms	36	$153	$177	$53	30%	—	$140 – $303
16	Optum fee schedule · outpatient · +3 other terms	33	$146	$195	$73	38%	—	$138 – $358
17	Caresource fee schedule · outpatient · +4 other terms	28	$146	$176	$65	37%	—	$101 – $295
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$195	$174	$44	25%	—	$64 – $267
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$149	$144	$9	7%	—	$119 – $152
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$175	$176	$7	4%	—	$166 – $193
21	Bcbs Tx fee schedule · outpatient	18	$140	$140	—	—	—	$140 – $140
22	Medicare fee schedule · outpatient · +3 other terms	18	$138	$138	$1	1%	—	$138 – $140
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$190	$179	$19	10%	—	$140 – $191
24	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$191	$219	$55	25%	—	$104 – $302
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$330	$322	$132	41%	—	$182 – $536

Page 1 of 3 · 53 payers