Scoliosis brace attachment: plastic or leather ring flange

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

Ring flange plastic/leather

Payers reporting HCPCS L1100

Payer pricing summary

Low

$63

Average

$248

Median

$213

High

$528

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +10 other terms	359	$199	$236	$124	52%	—	$93 – $1.4k
2	UnitedHealthcare fee schedule · outpatient · +10 other terms	356	$199	$199	$58	29%	—	$61 – $689
3	Humana fee schedule · outpatient · +9 other terms	317	$193	$299	$329	110%	—	$120 – $1.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	218	$200	$277	$166	60%	—	$0 – $1.0k
5	WellCare fee schedule · outpatient · +4 other terms	208	$205	$211	$31	15%	—	$182 – $366
6	Devoted fee schedule · outpatient · +3 other terms	165	$186	$198	$10	5%	—	$176 – $248
7	Molina fee schedule · outpatient · +4 other terms	138	$299	$285	$106	37%	—	$146 – $532
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$199	$203	$10	5%	—	$183 – $251
9	Cigna fee schedule · outpatient · +7 other terms	102	$199	$229	$79	35%	—	$176 – $683
10	Anthem fee schedule · outpatient · +6 other terms	81	$183	$290	$316	109%	—	$138 – $1.8k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$186	$335	$251	75%	—	$176 – $1.5k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	45	$346	$371	$69	19%	—	$182 – $469
13	Superior Healthplan fee schedule · outpatient	40	$213	$213	$1	0%	—	$199 – $213
14	Clover fee schedule · outpatient · +2 other terms	37	$188	$194	$13	7%	—	$184 – $244
15	Oscar fee schedule · outpatient · +4 other terms	36	$199	$239	$71	30%	—	$195 – $414
16	Optum fee schedule · outpatient · +2 other terms	33	$186	$259	$112	43%	—	$176 – $508
17	Caresource fee schedule · outpatient · +5 other terms	28	$186	$222	$76	34%	—	$138 – $361
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$239	$214	$55	26%	—	$78 – $335
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$190	$190	$6	3%	—	$173 – $199
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$223	$221	$4	2%	—	$212 – $223
21	Bcbs Tx fee schedule · outpatient	18	$199	$199	—	—	—	$199 – $199
22	Medicare fee schedule · outpatient · +1 other terms	18	$176	$176	$1	1%	—	$176 – $179
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$213	$201	$18	9%	—	$169 – $217
24	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$233	$268	$67	25%	—	$127 – $369
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$341	$355	$149	42%	—	$188 – $614

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