Custom-made hip abduction brace with pelvic band

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

Pelv band/spread bar thigh c

Payers reporting HCPCS L1640

Payer pricing summary

Low

$138

Average

$727

Median

$659

High

$1.7k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	355	$599	$678	$307	45%	—	$264 – $3.7k
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	353	$599	$588	$138	23%	—	$259 – $1.8k
3	Humana fee schedule · outpatient · +14 other terms	314	$599	$885	$991	112%	—	$299 – $4.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	214	$599	$760	$417	55%	—	$0 – $2.9k
5	WellCare fee schedule · outpatient · +5 other terms	205	$611	$631	$114	18%	—	$520 – $1.2k
6	Devoted fee schedule · outpatient · +5 other terms	161	$611	$600	$37	6%	—	$530 – $721
7	Molina fee schedule · outpatient · +6 other terms	138	$822	$828	$317	38%	—	$339 – $1.6k
8	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$611	$605	$29	5%	—	$530 – $728
9	Cigna fee schedule · outpatient · +12 other terms	98	$629	$683	$202	30%	—	$520 – $1.7k
10	Anthem fee schedule · outpatient · +6 other terms	81	$638	$826	$759	92%	—	$320 – $4.4k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$664	$942	$621	66%	—	$555 – $4.1k
12	Superior Healthplan fee schedule · outpatient	40	$641	$641	$3	0%	—	$599 – $641
13	Clover fee schedule · outpatient · +2 other terms	37	$607	$599	$39	6%	—	$530 – $707
14	Ambetter facility · fee schedule · outpatient · +7 other terms	36	$1.0k	$1.0k	$238	23%	—	$422 – $1.5k
15	Oscar fee schedule · outpatient · +6 other terms	36	$598	$664	$133	20%	—	$557 – $1.0k
16	Caresource fee schedule · outpatient · +5 other terms	29	$530	$573	$188	33%	—	$290 – $899
17	Optum fee schedule · outpatient · +3 other terms	29	$625	$823	$336	41%	—	$530 – $1.5k
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$595	$551	$146	27%	—	$194 – $997
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$677	$630	$80	13%	—	$462 – $690
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$636	$627	$14	2%	—	$604 – $636
21	Bcbs Tx fee schedule · outpatient	18	$599	$599	—	—	—	$599 – $599
22	Medicare fee schedule · outpatient · +3 other terms	18	$625	$627	$5	1%	—	$625 – $638
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$582	$671	$166	25%	—	$317 – $919
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$529	$529	$123	23%	—	$257 – $620
25	Wellmark fee schedule · both · +4 other terms	13	$575	$571	$24	4%	—	$423 – $575

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