Off-the-shelf Swedish-style knee brace

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 swedish type pre ots

Payers reporting HCPCS L1850

Payer pricing summary

Low

$56

Average

$421

Median

$291

High

$4.3k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +20 other terms	381	$237	$296	$215	73%	—	$150 – $2.1k
2	UnitedHealthcare fee schedule · outpatient · +20 other terms	372	$232	$269	$126	47%	—	$155 – $1.4k
3	Humana fee schedule · outpatient · +17 other terms	340	$248	$419	$617	147%	—	$135 – $2.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	234	$257	$353	$265	75%	—	$0 – $1.8k
5	WellCare fee schedule · outpatient · +8 other terms	225	$228	$239	$49	21%	—	$200 – $441
6	Devoted fee schedule · outpatient · +5 other terms	179	$216	$227	$34	15%	—	$200 – $359
7	Molina fee schedule · outpatient · +10 other terms	150	$303	$301	$108	36%	—	$173 – $831
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	123	$257	$228	$32	14%	—	$206 – $323
9	Cigna fee schedule · outpatient · +17 other terms	112	$259	$356	$221	62%	—	$200 – $1.2k
10	Anthem fee schedule · outpatient · +15 other terms	87	$240	$373	$298	80%	—	$199 – $1.7k
11	Kaiser fee schedule · outpatient · +9 other terms	69	$214	$391	$292	75%	—	$200 – $1.8k
12	Superior Healthplan fee schedule · outpatient · +2 other terms	41	$216	$220	$20	9%	—	$200 – $333
13	Clover fee schedule · outpatient · +3 other terms	39	$222	$240	$27	11%	—	$216 – $306
14	Ambetter facility · fee schedule · outpatient · +7 other terms	38	$415	$486	$165	34%	—	$218 – $726
15	Optum fee schedule · outpatient · +7 other terms	36	$252	$290	$96	33%	—	$200 – $514
16	Oscar fee schedule · outpatient · +5 other terms	36	$264	$258	$58	23%	—	$202 – $422
17	Caresource fee schedule · outpatient · +6 other terms	29	$252	$287	$110	39%	—	$199 – $841
18	Bcbs Tx fee schedule · outpatient	23	$200	$229	$54	24%	—	$200 – $332
19	Medica facility · fee schedule · outpatient · +8 other terms	23	$232	$233	$71	30%	—	$75 – $384
20	Regence facility · fee schedule · outpatient · +3 other terms	20	$218	$245	$54	22%	—	$170 – $352
21	Amerihealth Caritas fee schedule · outpatient · +1 other terms	19	$302	$297	$26	9%	—	$232 – $349
22	Medicare fee schedule · outpatient · +2 other terms	18	$200	$214	$35	16%	—	$200 – $307
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$230	$269	$66	24%	—	$125 – $364
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$280	$281	$77	27%	—	$155 – $373
25	Wellmark fee schedule · both · +1 other terms	13	$285	$282	$19	7%	—	$166 – $285

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