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

Ko Elas W/ Condyle Pads Ots

Payers reporting HCPCS L1821

Payer pricing summary

Low

$58

Average

$193

Median

$173

High

$476

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	317	$162	$161	$32	20%	—	$1 – $362
2	Aetna fee schedule · outpatient · +13 other terms	283	$162	$189	$99	53%	—	$87 – $1.1k
3	Humana fee schedule · outpatient · +7 other terms	280	$161	$162	$34	21%	—	$131 – $596
4	WellCare fee schedule · outpatient · +4 other terms	203	$168	$172	$30	18%	—	$146 – $330
5	Devoted fee schedule · outpatient · +4 other terms	163	$160	$162	$8	5%	—	$149 – $203
6	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	159	$153	$187	$85	45%	—	$0 – $617
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$163	$165	$7	4%	—	$149 – $205
8	Molina fee schedule · outpatient · +7 other terms	103	$188	$226	$87	38%	—	$152 – $433
9	Cigna fee schedule · outpatient · +8 other terms	86	$160	$186	$65	35%	—	$146 – $530
10	Anthem fee schedule · outpatient · +8 other terms	74	$163	$170	$22	13%	—	$146 – $296
11	Kaiser fee schedule · outpatient · +4 other terms	48	$162	$275	$231	84%	—	$160 – $1.2k
12	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$174	$174	$1	0%	—	$162 – $174
13	Clover fee schedule · outpatient · +2 other terms	37	$166	$165	$9	5%	—	$149 – $199
14	Optum fee schedule · outpatient · +5 other terms	26	$160	$187	$79	42%	—	$149 – $413
15	Oscar fee schedule · outpatient · +4 other terms	24	$162	$160	$3	2%	—	$156 – $162
16	Ambetter facility · fee schedule · outpatient · +4 other terms	23	$314	$313	$64	21%	—	$124 – $372
17	Caresource fee schedule · outpatient · +4 other terms	20	$149	$155	$12	8%	—	$149 – $199
18	Bcbs Tx fee schedule · outpatient	18	$162	$162	—	—	—	$162 – $162
19	Medicare fee schedule · outpatient · +1 other terms	18	$160	$160	—	—	—	$160 – $160
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$179	$177	$3	2%	—	$170 – $179
21	Regence facility · fee schedule · outpatient · +1 other terms	16	$169	$168	$8	5%	—	$138 – $173
22	Wellmark fee schedule · both · +3 other terms	13	$147	$146	$3	2%	—	$127 – $147
23	Bcbs Nj fee schedule · outpatient	12	$166	$358	$243	68%	—	$166 – $734
24	Medica facility · fee schedule · outpatient · +7 other terms	11	$171	$152	$40	26%	—	$58 – $179
25	Medical Mutual facility · fee schedule · outpatient · +2 other terms	11	$175	$214	$45	21%	—	$171 – $276

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