Custom plastic ankle-foot brace (spiral type)

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

HB-Custom Molded Spiral Afo (L1950)

Payers reporting HCPCS L1950

Payer pricing summary

Low

$296

Average

$1.2k

Median

$1.1k

High

$2.4k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +15 other terms	361	$899	$1.1k	$642	58%	—	$426 – $7.6k
2	UnitedHealthcare fee schedule · outpatient · +16 other terms	358	$876	$928	$285	31%	—	$419 – $3.8k
3	Humana fee schedule · outpatient · +14 other terms	319	$890	$1.3k	$1.4k	104%	—	$485 – $6.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$873	$1.2k	$723	58%	—	$0 – $4.2k
5	WellCare fee schedule · outpatient · +8 other terms	208	$899	$952	$245	26%	—	$839 – $2.2k
6	Devoted fee schedule · outpatient · +4 other terms	165	$859	$872	$31	4%	—	$856 – $1.2k
7	Molina fee schedule · outpatient · +8 other terms	140	$1.3k	$1.2k	$473	38%	—	$560 – $2.3k
8	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$916	$884	$45	5%	—	$856 – $1.2k
9	Cigna fee schedule · outpatient · +13 other terms	104	$908	$1.1k	$354	33%	—	$734 – $2.9k
10	Anthem fee schedule · outpatient · +10 other terms	80	$926	$1.3k	$1.3k	98%	—	$529 – $7.1k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$945	$1.8k	$1.4k	79%	—	$890 – $8.4k
12	Ambetter facility · fee schedule · outpatient · +8 other terms	47	$1.6k	$1.7k	$334	20%	—	$686 – $2.3k
13	Superior Healthplan fee schedule · outpatient	40	$902	$901	$4	0%	—	$842 – $902
14	Clover fee schedule · outpatient · +3 other terms	37	$1.1k	$1.0k	$115	11%	—	$856 – $1.1k
15	Oscar fee schedule · outpatient · +4 other terms	36	$899	$1.1k	$349	33%	—	$842 – $1.9k
16	Optum fee schedule · outpatient · +5 other terms	33	$890	$1.2k	$437	38%	—	$856 – $2.1k
17	Caresource fee schedule · outpatient · +6 other terms	29	$856	$928	$305	33%	—	$468 – $1.5k
18	Medica facility · fee schedule · outpatient · +8 other terms	22	$966	$883	$226	26%	—	$315 – $1.5k
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$963	$988	$46	5%	—	$926 – $1.1k
20	Amerihealth Caritas fee schedule · outpatient · +3 other terms	18	$1.0k	$1.0k	$36	4%	—	$919 – $1.0k
21	Bcbs Tx fee schedule · outpatient	18	$842	$842	—	—	—	$842 – $842
22	Medicare fee schedule · outpatient · +3 other terms	18	$890	$893	$7	1%	—	$890 – $908
23	Tricare facility · fee schedule · outpatient · +4 other terms	17	$901	$946	$97	10%	—	$839 – $1.1k
24	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$945	$1.1k	$269	25%	—	$515 – $1.5k
25	Highmark facility · fee schedule · outpatient · +6 other terms	14	$1.7k	$1.7k	$702	41%	—	$866 – $3.0k

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