Lower limb orthosis addition with limited ankle motion

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

LIMITED ANKLE MOTION EA JNT

Payers reporting HCPCS L2200

Payer pricing summary

Low

$19

Average

$93

Median

$84

High

$218

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	383	$71	$75	$68	91%	—	$1 – $647
2	Aetna fee schedule · outpatient · +21 other terms	367	$71	$83	$71	85%	—	$18 – $669
3	Humana fee schedule · outpatient · +19 other terms	323	$66	$99	$118	120%	—	$28 – $560
4	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	235	$71	$85	$58	68%	—	$0 – $855
5	WellCare fee schedule · outpatient · +10 other terms	213	$71	$70	$12	17%	—	$15 – $110
6	Devoted fee schedule · outpatient · +6 other terms	165	$71	$68	$8	11%	—	$55 – $78
7	Molina fee schedule · outpatient · +10 other terms	140	$97	$97	$39	40%	—	$34 – $191
8	Cigna fee schedule · outpatient · +17 other terms	116	$71	$104	$103	99%	—	$30 – $603
9	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$58	$69	$7	10%	—	$55 – $75
10	Anthem fee schedule · outpatient · +15 other terms	85	$71	$97	$96	99%	—	$15 – $550
11	Kaiser fee schedule · outpatient · +13 other terms	66	$74	$119	$84	70%	—	$70 – $535
12	Ambetter facility · fee schedule · outpatient · +8 other terms	48	$103	$104	$22	21%	—	$45 – $137
13	Caresource fee schedule · outpatient · +5 other terms	44	$55	$59	$13	22%	—	$30 – $95
14	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$76	$76	$0	0%	—	$71 – $76
15	Clover fee schedule · outpatient · +3 other terms	37	$57	$61	$8	14%	—	$55 – $76
16	Oscar fee schedule · outpatient · +7 other terms	36	$71	$76	$20	27%	—	$57 – $124
17	Optum fee schedule · outpatient · +8 other terms	34	$70	$87	$43	50%	—	$35 – $182
18	Medica facility · fee schedule · outpatient · +12 other terms	27	$63	$59	$14	24%	—	$21 – $91
19	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$174	$115	$65	57%	—	$42 – $188
20	Tricare facility · fee schedule · outpatient · +4 other terms	24	$55	$59	$9	15%	—	$44 – $71
21	Medicare fee schedule · outpatient · +4 other terms	19	$70	$70	$1	1%	—	$68 – $71
22	Amerihealth Caritas fee schedule · outpatient · +4 other terms	18	$66	$64	$3	5%	—	$56 – $66
23	Bcbs Tx fee schedule · outpatient	18	$71	$71	—	—	—	$71 – $71
24	Regence facility · fee schedule · outpatient · +6 other terms	17	$76	$74	$5	6%	—	$61 – $77
25	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$62	$71	$18	25%	—	$34 – $98

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