Sternal 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

Sternal pad

Payers reporting HCPCS L1050

Payer pricing summary

Low

$33

Average

$135

Median

$120

High

$272

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	359	$117	$129	$68	53%	—	$51 – $788
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	356	$105	$112	$29	26%	—	$41 – $391
3	Humana fee schedule · outpatient · +10 other terms	317	$105	$171	$201	118%	—	$63 – $949
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	218	$121	$151	$87	57%	—	$0 – $594
5	WellCare fee schedule · outpatient · +5 other terms	208	$121	$121	$17	14%	—	$94 – $187
6	Devoted fee schedule · outpatient · +3 other terms	165	$102	$115	$12	11%	—	$92 – $132
7	Molina fee schedule · outpatient · +6 other terms	138	$171	$167	$64	38%	—	$79 – $323
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$109	$118	$9	8%	—	$96 – $131
9	Cigna fee schedule · outpatient · +10 other terms	102	$107	$125	$43	34%	—	$92 – $362
10	Anthem fee schedule · outpatient · +6 other terms	80	$96	$151	$168	111%	—	$74 – $925
11	Kaiser fee schedule · outpatient · +6 other terms	64	$98	$184	$144	78%	—	$92 – $864
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$181	$196	$40	20%	—	$94 – $254
13	Superior Healthplan fee schedule · outpatient	40	$130	$129	$1	0%	—	$121 – $130
14	Clover fee schedule · outpatient · +2 other terms	37	$102	$106	$14	13%	—	$94 – $130
15	Oscar fee schedule · outpatient · +4 other terms	36	$121	$134	$34	26%	—	$107 – $217
16	Optum fee schedule · outpatient · +2 other terms	33	$102	$147	$74	51%	—	$92 – $308
17	Caresource fee schedule · outpatient · +5 other terms	28	$102	$119	$39	33%	—	$74 – $191
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$126	$113	$28	25%	—	$41 – $172
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$100	$102	$5	5%	—	$96 – $113
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$122	$120	$2	2%	—	$116 – $122
21	Bcbs Tx fee schedule · outpatient	18	$121	$121	—	—	—	$121 – $121
22	Medicare fee schedule · outpatient · +1 other terms	18	$92	$92	$1	1%	—	$92 – $94
23	Tricare facility · fee schedule · outpatient · +2 other terms	17	$113	$107	$11	10%	—	$86 – $123
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$123	$141	$35	25%	—	$67 – $195
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$178	$187	$80	42%	—	$96 – $328

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