Low-profile anterior chest pad for spinal 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

Ant. Thoracic Derotation Pad

Payers reporting HCPCS L1260

Payer pricing summary

Low

$27

Average

$124

Median

$108

High

$258

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	368	$98	$105	$29	28%	—	$43 – $306
2	Aetna fee schedule · outpatient · +11 other terms	359	$103	$116	$55	47%	—	$57 – $622
3	Humana fee schedule · outpatient · +12 other terms	317	$106	$149	$150	101%	—	$59 – $723
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	229	$116	$134	$73	54%	—	$0 – $475
5	WellCare fee schedule · outpatient · +6 other terms	208	$97	$104	$16	15%	—	$85 – $170
6	Devoted fee schedule · outpatient · +3 other terms	165	$94	$98	$10	10%	—	$84 – $119
7	Molina fee schedule · outpatient · +6 other terms	138	$138	$134	$49	37%	—	$69 – $246
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$106	$101	$12	12%	—	$87 – $123
9	Cigna fee schedule · outpatient · +10 other terms	103	$111	$117	$40	34%	—	$84 – $340
10	Anthem fee schedule · outpatient · +8 other terms	80	$96	$142	$158	111%	—	$65 – $869
11	Kaiser fee schedule · outpatient · +6 other terms	64	$89	$150	$109	73%	—	$84 – $676
12	Ambetter facility · fee schedule · outpatient · +7 other terms	46	$158	$193	$60	31%	—	$84 – $284
13	Caresource fee schedule · outpatient · +5 other terms	41	$114	$116	$27	23%	—	$62 – $179
14	Superior Healthplan fee schedule · outpatient	40	$99	$99	$0	0%	—	$92 – $99
15	Clover fee schedule · outpatient · +3 other terms	37	$99	$99	$14	15%	—	$85 – $119
16	Oscar fee schedule · outpatient · +4 other terms	36	$119	$118	$29	24%	—	$92 – $191
17	Optum fee schedule · outpatient · +3 other terms	33	$114	$127	$49	39%	—	$84 – $235
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$119	$106	$27	25%	—	$39 – $162
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$90	$89	$4	5%	—	$77 – $92
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$137	$132	$10	8%	—	$104 – $137
21	Bcbs Tx fee schedule · outpatient	18	$92	$92	—	—	—	$92 – $92
22	Medicare fee schedule · outpatient · +1 other terms	18	$84	$84	$1	1%	—	$84 – $85
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$116	$133	$33	25%	—	$63 – $183
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$100	$95	$9	10%	—	$78 – $112
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$162	$167	$69	42%	—	$87 – $288

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