Custom hip-knee-ankle-foot brace with torsion control

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 unilat torsion ball br

Payers reporting HCPCS L2090

Payer pricing summary

Low

$174

Average

$695

Median

$604

High

$1.4k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +11 other terms	359	$549	$663	$384	58%	—	$270 – $4.5k
2	UnitedHealthcare fee schedule · outpatient · +11 other terms	356	$547	$552	$172	31%	—	$210 – $2.2k
3	Humana fee schedule · outpatient · +9 other terms	317	$542	$814	$863	106%	—	$314 – $4.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	218	$552	$766	$433	56%	—	$0 – $2.6k
5	WellCare fee schedule · outpatient · +4 other terms	208	$558	$574	$81	14%	—	$494 – $983
6	Devoted fee schedule · outpatient · +3 other terms	165	$542	$543	$15	3%	—	$535 – $685
7	Molina fee schedule · outpatient · +5 other terms	138	$788	$771	$291	38%	—	$373 – $1.4k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$558	$548	$25	4%	—	$524 – $692
9	Cigna fee schedule · outpatient · +9 other terms	102	$558	$639	$193	30%	—	$525 – $1.8k
10	Anthem fee schedule · outpatient · +6 other terms	80	$549	$783	$823	105%	—	$352 – $4.6k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$571	$1.0k	$811	78%	—	$538 – $4.9k
12	Superior Healthplan fee schedule · outpatient	40	$562	$562	$3	0%	—	$525 – $562
13	Clover fee schedule · outpatient · +2 other terms	37	$542	$535	$40	7%	—	$494 – $672
14	Oscar fee schedule · outpatient · +4 other terms	36	$569	$656	$199	30%	—	$525 – $1.1k
15	Ambetter facility · fee schedule · outpatient · +7 other terms	35	$1.1k	$1.1k	$206	19%	—	$519 – $1.4k
16	Optum fee schedule · outpatient · +2 other terms	33	$542	$711	$277	39%	—	$504 – $1.3k
17	Caresource fee schedule · outpatient · +5 other terms	28	$542	$613	$187	31%	—	$352 – $944
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$625	$567	$144	25%	—	$204 – $930
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$583	$593	$23	4%	—	$560 – $643
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$650	$629	$43	7%	—	$514 – $650
21	Bcbs Tx fee schedule · outpatient	18	$525	$525	—	—	—	$525 – $525
22	Medicare fee schedule · outpatient · +1 other terms	18	$538	$540	$4	1%	—	$538 – $549
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$611	$702	$174	25%	—	$333 – $965
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$556	$556	$130	23%	—	$270 – $651
25	Wellmark fee schedule · both · +1 other terms	13	$536	$534	$15	3%	—	$445 – $536

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