Adjustable hip abduction brace, prefabricated, with fitting

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

HO abduction hip adjustable

Payers reporting HCPCS L1650

Payer pricing summary

Low

$81

Average

$342

Median

$305

High

$619

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +14 other terms	361	$288	$332	$154	46%	—	$140 – $1.8k
2	UnitedHealthcare fee schedule · outpatient · +16 other terms	360	$285	$284	$74	26%	—	$1 – $883
3	Humana fee schedule · outpatient · +12 other terms	319	$288	$424	$449	106%	—	$156 – $2.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	219	$287	$380	$212	56%	—	$0 – $1.4k
5	WellCare fee schedule · outpatient · +4 other terms	208	$289	$299	$43	14%	—	$261 – $519
6	Devoted fee schedule · outpatient · +3 other terms	165	$281	$284	$9	3%	—	$280 – $362
7	Molina fee schedule · outpatient · +4 other terms	140	$413	$391	$147	38%	—	$96 – $735
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$300	$289	$14	5%	—	$280 – $365
9	Cigna fee schedule · outpatient · +13 other terms	102	$294	$330	$97	29%	—	$266 – $888
10	Anthem fee schedule · outpatient · +13 other terms	80	$300	$413	$402	97%	—	$173 – $2.3k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$306	$459	$305	66%	—	$266 – $2.0k
12	Superior Healthplan fee schedule · outpatient	40	$294	$294	$1	0%	—	$275 – $294
13	Clover fee schedule · outpatient · +2 other terms	37	$281	$280	$20	7%	—	$261 – $355
14	Ambetter facility · fee schedule · outpatient · +5 other terms	36	$546	$544	$121	22%	—	$220 – $742
15	Oscar fee schedule · outpatient · +5 other terms	36	$295	$333	$85	25%	—	$275 – $528
16	Optum fee schedule · outpatient · +4 other terms	33	$288	$375	$143	38%	—	$275 – $701
17	Caresource fee schedule · outpatient · +4 other terms	28	$281	$311	$91	29%	—	$173 – $468
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$310	$283	$72	25%	—	$101 – $467
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$312	$293	$33	11%	—	$222 – $318
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$337	$331	$11	3%	—	$306 – $337
21	Bcbs Tx fee schedule · outpatient	18	$275	$275	—	—	—	$275 – $275
22	Medicare fee schedule · outpatient · +2 other terms	18	$288	$289	$2	1%	—	$288 – $294
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$303	$349	$86	25%	—	$165 – $479
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$276	$276	$64	23%	—	$134 – $323
25	Wellmark fee schedule · both · +2 other terms	13	$269	$268	$8	3%	—	$221 – $269

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