Dorsiflexion assist addition for lower leg brace

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

DORSIFLEXION ASSIST EACH JOI

Payers reporting HCPCS L2210

Payer pricing summary

Low

$27

Average

$125

Median

$116

High

$328

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	390	$87	$105	$94	89%	—	$1 – $966
2	Aetna fee schedule · outpatient · +21 other terms	365	$89	$100	$55	55%	—	$42 – $828
3	Humana fee schedule · outpatient · +20 other terms	324	$89	$123	$122	100%	—	$39 – $594
4	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	227	$90	$118	$78	66%	—	$0 – $892
5	WellCare fee schedule · outpatient · +11 other terms	212	$83	$86	$17	20%	—	$26 – $165
6	Devoted fee schedule · outpatient · +5 other terms	165	$89	$83	$8	10%	—	$77 – $105
7	Molina fee schedule · outpatient · +13 other terms	148	$114	$108	$42	39%	—	$45 – $206
8	Cigna fee schedule · outpatient · +17 other terms	123	$97	$141	$118	84%	—	$32 – $998
9	Cigna Healthspring fee schedule · outpatient · +4 other terms	116	$91	$84	$9	11%	—	$77 – $106
10	Anthem fee schedule · outpatient · +17 other terms	92	$101	$159	$130	82%	—	$43 – $610
11	Kaiser fee schedule · outpatient · +14 other terms	75	$105	$154	$95	61%	—	$44 – $594
12	Ambetter facility · fee schedule · outpatient · +9 other terms	51	$139	$151	$41	27%	—	$56 – $222
13	Caresource fee schedule · outpatient · +6 other terms	44	$89	$78	$14	18%	—	$43 – $119
14	Superior Healthplan fee schedule · outpatient · +3 other terms	40	$81	$81	$0	0%	—	$76 – $81
15	Clover fee schedule · outpatient · +3 other terms	37	$83	$86	$5	6%	—	$81 – $103
16	Oscar fee schedule · outpatient · +7 other terms	36	$93	$98	$31	32%	—	$76 – $175
17	Optum fee schedule · outpatient · +9 other terms	34	$99	$117	$44	38%	—	$75 – $257
18	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$184	$121	$69	57%	—	$44 – $199
19	Tricare facility · fee schedule · outpatient · +6 other terms	25	$79	$85	$10	12%	—	$76 – $103
20	Medica facility · fee schedule · outpatient · +10 other terms	24	$79	$74	$20	27%	—	$26 – $129
21	MultiPlan fee schedule · outpatient · +16 other terms	20	$316	$298	$142	48%	—	$72 – $564
22	Medicare fee schedule · outpatient · +5 other terms	19	$99	$98	$6	6%	—	$72 – $101
23	Amerihealth Caritas fee schedule · outpatient · +4 other terms	18	$106	$103	$8	8%	—	$81 – $106
24	Bcbs Tx fee schedule · outpatient	18	$76	$76	—	—	—	$76 – $76
25	Regence facility · fee schedule · outpatient · +6 other terms	17	$107	$100	$14	14%	—	$67 – $109

Page 1 of 3 · 55 payers