Custom ankle-foot brace with calf band

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 solid stirrup calf

Payers reporting HCPCS L1980

Payer pricing summary

Low

$146

Average

$588

Median

$502

High

$1.3k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	359	$446	$546	$324	59%	—	$210 – $4.0k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	356	$443	$453	$137	30%	—	$206 – $1.8k
3	Humana fee schedule · outpatient · +12 other terms	318	$439	$664	$712	107%	—	$255 – $3.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	219	$441	$624	$363	58%	—	$0 – $2.1k
5	WellCare fee schedule · outpatient · +7 other terms	208	$454	$473	$87	18%	—	$413 – $924
6	Devoted fee schedule · outpatient · +3 other terms	165	$441	$441	$15	3%	—	$422 – $573
7	Molina fee schedule · outpatient · +8 other terms	138	$649	$632	$238	38%	—	$310 – $1.2k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$450	$445	$17	4%	—	$422 – $579
9	Cigna fee schedule · outpatient · +12 other terms	102	$446	$520	$165	32%	—	$413 – $1.5k
10	Anthem fee schedule · outpatient · +10 other terms	80	$446	$646	$666	103%	—	$293 – $3.7k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$464	$845	$651	77%	—	$437 – $4.0k
12	Ambetter facility · fee schedule · outpatient · +7 other terms	47	$798	$815	$172	21%	—	$360 – $1.2k
13	Superior Healthplan fee schedule · outpatient	40	$463	$463	$2	0%	—	$432 – $463
14	Clover fee schedule · outpatient · +3 other terms	37	$464	$458	$21	5%	—	$422 – $562
15	Oscar fee schedule · outpatient · +7 other terms	36	$443	$534	$171	32%	—	$432 – $956
16	Optum fee schedule · outpatient · +5 other terms	33	$437	$580	$232	40%	—	$422 – $1.1k
17	Caresource fee schedule · outpatient · +6 other terms	28	$422	$489	$155	32%	—	$293 – $767
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$507	$461	$118	26%	—	$165 – $779
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$473	$480	$17	4%	—	$449 – $516
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$506	$493	$24	5%	—	$430 – $506
21	Bcbs Tx fee schedule · outpatient	18	$432	$432	—	—	—	$432 – $432
22	Medicare fee schedule · outpatient · +1 other terms	18	$437	$438	$3	1%	—	$437 – $446
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$496	$571	$141	25%	—	$270 – $784
24	Tricare facility · fee schedule · outpatient · +3 other terms	15	$422	$434	$22	5%	—	$413 – $473
25	Highmark facility · fee schedule · outpatient · +5 other terms	14	$774	$746	$309	41%	—	$405 – $1.2k

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