Custom hip abduction brace, semi-flexible

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

Abduct control hip semi-flex

Payers reporting HCPCS L1630

Payer pricing summary

Low

$55

Average

$258

Median

$218

High

$574

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +10 other terms	359	$200	$239	$117	49%	—	$99 – $1.4k
2	UnitedHealthcare fee schedule · outpatient · +10 other terms	356	$199	$205	$57	28%	—	$95 – $698
3	Humana fee schedule · outpatient · +9 other terms	317	$198	$297	$312	105%	—	$133 – $1.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	219	$202	$278	$166	60%	—	$0 – $938
5	WellCare fee schedule · outpatient · +4 other terms	208	$202	$211	$34	16%	—	$191 – $380
6	Devoted fee schedule · outpatient · +3 other terms	165	$198	$197	$7	4%	—	$187 – $265
7	Molina fee schedule · outpatient · +5 other terms	138	$287	$279	$105	38%	—	$157 – $539
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$203	$200	$10	5%	—	$195 – $267
9	Cigna fee schedule · outpatient · +8 other terms	102	$204	$232	$79	34%	—	$187 – $761
10	Anthem fee schedule · outpatient · +6 other terms	81	$195	$311	$354	114%	—	$148 – $1.9k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$199	$336	$248	74%	—	$187 – $1.5k
12	Superior Healthplan fee schedule · outpatient	40	$204	$204	$1	0%	—	$191 – $204
13	Clover fee schedule · outpatient · +2 other terms	37	$198	$200	$12	6%	—	$191 – $260
14	Oscar fee schedule · outpatient · +4 other terms	36	$208	$236	$60	26%	—	$191 – $362
15	Ambetter facility · fee schedule · outpatient · +6 other terms	35	$437	$405	$85	21%	—	$194 – $548
16	Optum fee schedule · outpatient · +2 other terms	33	$198	$260	$101	39%	—	$187 – $487
17	Caresource fee schedule · outpatient · +5 other terms	29	$198	$233	$90	39%	—	$108 – $401
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$265	$237	$61	26%	—	$87 – $362
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$203	$200	$8	4%	—	$175 – $206
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$238	$232	$12	5%	—	$199 – $238
21	Bcbs Tx fee schedule · outpatient	18	$191	$191	—	—	—	$191 – $191
22	Medicare fee schedule · outpatient · +1 other terms	18	$187	$188	$1	1%	—	$187 – $191
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$260	$297	$74	25%	—	$141 – $410
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$236	$236	$55	23%	—	$115 – $277
25	Wellmark fee schedule · both · +1 other terms	13	$205	$204	$3	1%	—	$189 – $205

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