Custom hip-knee-ankle-foot brace with pelvic belt

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

Hkafo torsion bil rot straps

Payers reporting HCPCS L2040

Payer pricing summary

Low

$53

Average

$282

Median

$265

High

$570

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +18 other terms	376	$212	$235	$81	34%	—	$1 – $871
2	Aetna fee schedule · outpatient · +17 other terms	361	$215	$265	$139	53%	—	$104 – $1.8k
3	Humana fee schedule · outpatient · +16 other terms	319	$216	$318	$324	102%	—	$128 – $1.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	223	$214	$287	$170	59%	—	$0 – $1.2k
5	WellCare fee schedule · outpatient · +7 other terms	208	$216	$224	$37	16%	—	$200 – $398
6	Devoted fee schedule · outpatient · +4 other terms	165	$210	$213	$18	9%	—	$204 – $277
7	Molina fee schedule · outpatient · +14 other terms	144	$300	$294	$116	40%	—	$76 – $535
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$225	$217	$21	10%	—	$204 – $280
9	Cigna fee schedule · outpatient · +14 other terms	109	$255	$282	$105	37%	—	$131 – $729
10	Anthem fee schedule · outpatient · +10 other terms	84	$260	$331	$312	94%	—	$98 – $1.9k
11	Kaiser fee schedule · outpatient · +8 other terms	68	$270	$397	$296	75%	—	$98 – $1.9k
12	Caresource fee schedule · outpatient · +5 other terms	41	$244	$240	$61	26%	—	$115 – $384
13	Superior Healthplan fee schedule · outpatient	40	$214	$214	$1	0%	—	$200 – $214
14	Clover fee schedule · outpatient · +2 other terms	37	$210	$211	$13	6%	—	$200 – $272
15	Ambetter facility · fee schedule · outpatient · +7 other terms	36	$448	$407	$98	24%	—	$180 – $550
16	Oscar fee schedule · outpatient · +4 other terms	36	$220	$242	$53	22%	—	$200 – $352
17	Optum fee schedule · outpatient · +3 other terms	33	$255	$292	$95	32%	—	$200 – $510
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$254	$233	$57	25%	—	$83 – $347
19	Regence facility · fee schedule · outpatient · +6 other terms	19	$276	$266	$18	7%	—	$219 – $281
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$252	$251	$6	2%	—	$239 – $259
21	Bcbs Tx fee schedule · outpatient	18	$200	$200	—	—	—	$200 – $200
22	Medicare fee schedule · outpatient · +3 other terms	18	$255	$256	$2	1%	—	$255 – $260
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$249	$286	$71	25%	—	$135 – $393
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$226	$226	$53	23%	—	$110 – $265
25	Wellmark fee schedule · both · +3 other terms	13	$196	$196	$2	1%	—	$181 – $196

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