Custom ankle-foot brace with adjustable stop

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

Afo sing upright w/ adjust s

Payers reporting HCPCS L1920

Payer pricing summary

Low

$109

Average

$512

Median

$464

High

$1.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	376	$423	$456	$193	42%	—	$196 – $1.7k
2	Aetna fee schedule · outpatient · +15 other terms	359	$421	$514	$263	51%	—	$200 – $3.4k
3	Humana fee schedule · outpatient · +12 other terms	317	$418	$627	$665	106%	—	$259 – $3.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	223	$416	$571	$331	58%	—	$0 – $2.0k
5	WellCare fee schedule · outpatient · +5 other terms	208	$428	$450	$79	17%	—	$394 – $838
6	Devoted fee schedule · outpatient · +4 other terms	165	$416	$424	$29	7%	—	$402 – $546
7	Molina fee schedule · outpatient · +8 other terms	142	$613	$597	$229	38%	—	$315 – $1.1k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$424	$426	$27	6%	—	$402 – $551
9	Cigna fee schedule · outpatient · +12 other terms	111	$485	$575	$264	46%	—	$394 – $1.6k
10	Anthem fee schedule · outpatient · +14 other terms	86	$495	$654	$628	96%	—	$297 – $3.8k
11	Kaiser fee schedule · outpatient · +7 other terms	69	$515	$782	$573	73%	—	$315 – $3.8k
12	Ambetter facility · fee schedule · outpatient · +7 other terms	45	$677	$771	$177	23%	—	$394 – $1.1k
13	Caresource fee schedule · outpatient · +5 other terms	41	$495	$477	$130	27%	—	$220 – $780
14	Superior Healthplan fee schedule · outpatient	40	$437	$437	$2	0%	—	$408 – $437
15	Clover fee schedule · outpatient · +2 other terms	37	$421	$426	$19	5%	—	$402 – $536
16	Oscar fee schedule · outpatient · +8 other terms	36	$422	$483	$109	23%	—	$408 – $712
17	Optum fee schedule · outpatient · +5 other terms	33	$485	$569	$208	37%	—	$394 – $1.0k
18	Medica facility · fee schedule · outpatient · +7 other terms	22	$516	$469	$114	24%	—	$168 – $685
19	Regence facility · fee schedule · outpatient · +5 other terms	19	$525	$511	$30	6%	—	$429 – $536
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$482	$470	$23	5%	—	$410 – $482
21	Bcbs Tx fee schedule · outpatient	18	$408	$408	—	—	—	$408 – $408
22	Medicare fee schedule · outpatient · +1 other terms	18	$485	$487	$4	1%	—	$485 – $495
23	Medical Mutual facility · fee schedule · outpatient · +3 other terms	15	$505	$579	$144	25%	—	$275 – $798
24	Tricare facility · fee schedule · outpatient · +3 other terms	15	$402	$417	$33	8%	—	$387 – $495
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$740	$705	$291	41%	—	$386 – $1.1k

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