Lumbar pad for scoliosis 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

Lumbar Pad

Payers reporting HCPCS L1040

Payer pricing summary

Low

$31

Average

$132

Median

$112

High

$425

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	361	$109	$122	$66	54%	—	$58 – $837
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	358	$104	$105	$29	28%	—	$30 – $368
3	Humana fee schedule · outpatient · +12 other terms	319	$113	$158	$164	104%	—	$56 – $784
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$120	$143	$74	52%	—	$0 – $491
5	WellCare fee schedule · outpatient · +5 other terms	208	$105	$110	$15	14%	—	$88 – $175
6	Devoted fee schedule · outpatient · +3 other terms	165	$102	$104	$9	9%	—	$86 – $123
7	Molina fee schedule · outpatient · +5 other terms	140	$150	$142	$54	38%	—	$30 – $267
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$104	$107	$11	10%	—	$90 – $127
9	Cigna fee schedule · outpatient · +10 other terms	102	$119	$119	$34	29%	—	$86 – $320
10	Anthem fee schedule · outpatient · +6 other terms	80	$90	$138	$147	106%	—	$61 – $817
11	Kaiser fee schedule · outpatient · +6 other terms	64	$91	$173	$135	78%	—	$86 – $814
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$170	$198	$60	31%	—	$79 – $293
13	Superior Healthplan fee schedule · outpatient	40	$107	$107	$1	0%	—	$100 – $107
14	Clover fee schedule · outpatient · +2 other terms	37	$107	$104	$15	14%	—	$88 – $123
15	Oscar fee schedule · outpatient · +4 other terms	36	$123	$126	$33	26%	—	$100 – $203
16	Optum fee schedule · outpatient · +2 other terms	33	$117	$132	$56	42%	—	$86 – $255
17	Caresource fee schedule · outpatient · +5 other terms	28	$117	$121	$31	25%	—	$61 – $168
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$111	$100	$25	25%	—	$36 – $152
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$93	$96	$5	5%	—	$90 – $106
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$141	$135	$13	10%	—	$98 – $141
21	Bcbs Tx fee schedule · outpatient	18	$100	$100	—	—	—	$100 – $100
22	Medicare fee schedule · outpatient · +3 other terms	18	$86	$86	$1	1%	—	$86 – $88
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$95	$94	$7	7%	—	$81 – $115
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$109	$125	$31	25%	—	$59 – $172
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$159	$163	$68	42%	—	$90 – $272

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