Elastic knee brace with condylar pads

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

Knee Brace Drytx Play Sm

Payers reporting HCPCS L1820

Payer pricing summary

Low

Average

$185

Median

$162

High

$1.0k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +25 other terms	422	$162	$192	$113	59%	—	$1 – $841
2	Aetna fee schedule · outpatient · +24 other terms	397	$166	$209	$125	60%	—	$19 – $1.1k
3	Humana fee schedule · outpatient · +22 other terms	340	$162	$226	$253	112%	—	$23 – $1.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	254	$165	$239	$122	51%	—	$0 – $829
5	WellCare fee schedule · outpatient · +13 other terms	216	$168	$167	$38	23%	—	$14 – $330
6	Devoted fee schedule · outpatient · +7 other terms	161	$160	$162	$8	5%	—	$149 – $203
7	Molina fee schedule · outpatient · +17 other terms	158	$191	$223	$89	40%	—	$22 – $433
8	Cigna fee schedule · outpatient · +22 other terms	141	$162	$248	$164	66%	—	$48 – $784
9	Cigna Healthspring fee schedule · outpatient · +5 other terms	116	$163	$165	$7	4%	—	$149 – $205
10	Anthem fee schedule · outpatient · +20 other terms	104	$163	$243	$212	87%	—	$14 – $1.3k
11	Kaiser fee schedule · outpatient · +17 other terms	98	$166	$230	$169	73%	—	$22 – $1.2k
12	Caresource fee schedule · outpatient · +14 other terms	51	$151	$155	$33	21%	—	$72 – $270
13	Ambetter facility · fee schedule · outpatient · +14 other terms	43	$303	$309	$42	14%	—	$127 – $372
14	Clover fee schedule · outpatient · +3 other terms	42	$166	$164	$9	6%	—	$149 – $199
15	Superior Healthplan fee schedule · outpatient · +3 other terms	40	$174	$174	$1	0%	—	$162 – $174
16	MultiPlan fee schedule · outpatient · +17 other terms	38	$350	$389	$246	63%	—	$91 – $937
17	Oscar fee schedule · outpatient · +11 other terms	37	$162	$190	$49	26%	—	$156 – $309
18	Optum fee schedule · outpatient · +12 other terms	35	$162	$208	$94	45%	—	$22 – $413
19	Medica facility · fee schedule · outpatient · +15 other terms	27	$150	$134	$52	38%	—	$12 – $254
20	Tricare facility · fee schedule · outpatient · +13 other terms	27	$160	$412	$1.9k	454%	—	$60 – $13.5k
21	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$315	$222	$103	46%	—	$104 – $341
22	Medicare fee schedule · outpatient · +7 other terms	24	$157	$158	$5	3%	—	$147 – $163
23	Regence fee schedule · outpatient · +10 other terms	20	$159	$291	$120	41%	—	$22 – $529
24	Amerihealth Caritas fee schedule · outpatient · +7 other terms	19	$179	$172	$23	14%	—	$74 – $179
25	Bcbs Tx fee schedule · outpatient · +1 other terms	19	$162	$155	$31	20%	—	$25 – $162

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