Off-the-shelf elastic knee brace with joints

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

SLEEVE ORTHO CTI SPORT LG 15-18IN MID-PATELLA KNEE

Payers reporting HCPCS L1812

Payer pricing summary

Low

$19

Average

$112

Median

$101

High

$285

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	395	$78	$87	$48	56%	—	$1 – $696
2	Aetna fee schedule · outpatient · +23 other terms	393	$80	$99	$60	61%	—	$1 – $654
3	Humana fee schedule · outpatient · +22 other terms	354	$84	$128	$174	136%	—	$1 – $945
4	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	245	$87	$105	$64	61%	—	$0 – $592
5	WellCare fee schedule · outpatient · +11 other terms	228	$76	$80	$17	21%	—	$29 – $155
6	Devoted fee schedule · outpatient · +8 other terms	179	$74	$78	$14	18%	—	$68 – $132
7	Molina fee schedule · outpatient · +13 other terms	152	$103	$95	$36	38%	—	$1 – $273
8	Cigna Healthspring fee schedule · outpatient · +3 other terms	123	$88	$83	$15	18%	—	$70 – $127
9	Cigna fee schedule · outpatient · +18 other terms	118	$84	$94	$51	55%	—	$15 – $719
10	Anthem fee schedule · outpatient · +18 other terms	85	$76	$102	$88	86%	—	$29 – $589
11	Kaiser fee schedule · outpatient · +11 other terms	65	$73	$223	$161	72%	—	$68 – $631
12	Caresource fee schedule · outpatient · +8 other terms	43	$86	$72	$27	37%	—	$1 – $121
13	Superior Healthplan fee schedule · outpatient · +1 other terms	41	$74	$75	$6	8%	—	$68 – $110
14	Clover fee schedule · outpatient · +4 other terms	39	$76	$88	$16	18%	—	$74 – $124
15	Optum fee schedule · outpatient · +10 other terms	37	$86	$102	$34	34%	—	$68 – $175
16	Ambetter facility · fee schedule · outpatient · +12 other terms	36	$141	$182	$76	42%	—	$77 – $293
17	Oscar fee schedule · outpatient · +10 other terms	35	$90	$87	$19	22%	—	$69 – $144
18	Bcbs Tx fee schedule · outpatient · +3 other terms	23	$68	$77	$17	22%	—	$68 – $109
19	Medica facility · fee schedule · outpatient · +14 other terms	22	$62	$63	$29	47%	—	$4 – $127
20	Amerihealth Caritas fee schedule · outpatient · +3 other terms	20	$103	$102	$15	15%	—	$74 – $141
21	Medicare fee schedule · outpatient · +6 other terms	20	$68	$77	$15	20%	—	$68 – $112
22	Regence facility · fee schedule · outpatient · +9 other terms	20	$74	$84	$19	22%	—	$58 – $123
23	Medical Mutual facility · fee schedule · outpatient · +4 other terms	15	$79	$92	$23	24%	—	$43 – $124
24	Aetna Better Health fee schedule · outpatient · +5 other terms	13	$48	$64	$17	27%	—	$48 – $83
25	Bcbs Mn fee schedule · outpatient · +7 other terms	13	$100	$97	$10	10%	—	$56 – $135

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