Soft prefabricated ankle-foot brace for tibial fracture

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

BLEDSOE FREE ANKLE FRACT

Payers reporting HCPCS L2112

Payer pricing summary

Low

$59

Average

$615

Median

$603

High

$1.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	384	$608	$645	$326	51%	—	$53 – $2.8k
2	Aetna fee schedule · outpatient · +16 other terms	362	$633	$696	$333	48%	—	$87 – $3.7k
3	Humana fee schedule · outpatient · +14 other terms	323	$606	$916	$1.1k	115%	—	$53 – $5.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	225	$638	$766	$459	60%	—	$0 – $3.1k
5	WellCare fee schedule · outpatient · +10 other terms	208	$638	$667	$129	19%	—	$547 – $1.3k
6	Devoted fee schedule · outpatient · +3 other terms	165	$583	$623	$47	8%	—	$515 – $729
7	Molina fee schedule · outpatient · +11 other terms	142	$809	$869	$334	38%	—	$370 – $1.7k
8	Cigna Healthspring fee schedule · outpatient · +4 other terms	116	$624	$638	$33	5%	—	$536 – $736
9	Cigna fee schedule · outpatient · +16 other terms	115	$630	$809	$497	61%	—	$59 – $2.4k
10	Anthem fee schedule · outpatient · +15 other terms	86	$572	$1.0k	$941	91%	—	$341 – $4.7k
11	Kaiser fee schedule · outpatient · +10 other terms	70	$547	$987	$667	68%	—	$515 – $4.1k
12	Ambetter facility · fee schedule · outpatient · +12 other terms	46	$987	$1.1k	$223	20%	—	$572 – $1.5k
13	Caresource fee schedule · outpatient · +8 other terms	41	$608	$615	$148	24%	—	$319 – $958
14	Superior Healthplan fee schedule · outpatient · +1 other terms	41	$683	$677	$57	8%	—	$105 – $683
15	Clover fee schedule · outpatient · +3 other terms	37	$668	$652	$34	5%	—	$583 – $715
16	Oscar fee schedule · outpatient · +10 other terms	36	$638	$723	$168	23%	—	$612 – $1.1k
17	Optum fee schedule · outpatient · +8 other terms	33	$583	$796	$380	48%	—	$515 – $1.6k
18	Medica facility · fee schedule · outpatient · +7 other terms	22	$634	$572	$144	25%	—	$207 – $893
19	Regence facility · fee schedule · outpatient · +5 other terms	21	$558	$557	$48	9%	—	$463 – $684
20	Amerihealth Caritas fee schedule · outpatient · +3 other terms	18	$700	$687	$22	3%	—	$638 – $700
21	Bcbs Tx fee schedule · outpatient	18	$638	$638	—	—	—	$638 – $638
22	Medicare fee schedule · outpatient · +2 other terms	18	$515	$517	$4	1%	—	$515 – $526
23	MultiPlan fee schedule · outpatient · +12 other terms	17	$1.4k	$1.2k	$1.1k	85%	—	$149 – $2.7k
24	Tricare facility · fee schedule · outpatient · +4 other terms	16	$626	$618	$44	7%	—	$526 – $681
25	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$620	$714	$177	25%	—	$338 – $980

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