Hip orthosis with bilateral thigh cuffs and abductor bar

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 static ots

Payers reporting HCPCS L1653

Payer pricing summary

Low

$137

Average

$504

Median

$449

High

$1.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +9 other terms	314	$441	$438	$60	14%	—	$254 – $614
2	Aetna fee schedule · outpatient · +6 other terms	282	$443	$510	$241	47%	—	$257 – $2.9k
3	Humana fee schedule · outpatient · +5 other terms	279	$436	$447	$97	22%	—	$321 – $1.8k
4	WellCare fee schedule · outpatient · +4 other terms	203	$454	$466	$70	15%	—	$419 – $834
5	Devoted fee schedule · outpatient · +2 other terms	163	$440	$443	$10	2%	—	$434 – $532
6	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	159	$440	$499	$205	41%	—	$0 – $1.8k
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$449	$449	$16	3%	—	$440 – $537
8	Molina fee schedule · outpatient · +4 other terms	103	$532	$601	$232	39%	—	$419 – $1.2k
9	Cigna fee schedule · outpatient · +4 other terms	86	$454	$504	$147	29%	—	$427 – $1.3k
10	Anthem fee schedule · outpatient · +6 other terms	74	$434	$448	$44	10%	—	$419 – $696
11	Kaiser fee schedule · outpatient · +3 other terms	47	$434	$689	$597	87%	—	$434 – $3.2k
12	Superior Healthplan fee schedule · outpatient	40	$462	$462	$2	0%	—	$432 – $462
13	Clover fee schedule · outpatient · +2 other terms	37	$440	$443	$23	5%	—	$419 – $522
14	Optum fee schedule · outpatient · +2 other terms	26	$434	$507	$206	41%	—	$423 – $1.1k
15	Oscar fee schedule · outpatient · +3 other terms	24	$432	$444	$15	3%	—	$432 – $463
16	Ambetter facility · fee schedule · outpatient · +4 other terms	22	$789	$895	$188	21%	—	$419 – $1.1k
17	Caresource fee schedule · outpatient · +4 other terms	20	$440	$441	$19	4%	—	$419 – $522
18	Bcbs Tx fee schedule · outpatient	18	$432	$432	—	—	—	$432 – $432
19	Medicare fee schedule · outpatient · +1 other terms	18	$434	$434	—	—	—	$434 – $434
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$529	$524	$10	2%	—	$502 – $529
21	Regence facility · fee schedule · outpatient · +1 other terms	16	$461	$456	$26	6%	—	$356 – $469
22	Wellmark fee schedule · both · +1 other terms	13	$419	$416	$16	4%	—	$319 – $419
23	Bcbs Nj fee schedule · outpatient	12	$419	$904	$614	68%	—	$419 – $1.9k
24	Medica facility · fee schedule · outpatient · +4 other terms	11	$430	$384	$100	26%	—	$146 – $448
25	Medical Mutual facility · fee schedule · outpatient · +1 other terms	11	$438	$538	$112	21%	—	$430 – $692

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