Quadrilateral brim thigh orthosis addition

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

HC ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, QUADRI- LATERAL BRIM, MOLDED TO PATIENT MODEL

Payers reporting HCPCS L2510

Payer pricing summary

Low

$289

Average

$1.1k

Median

$1.0k

High

$2.7k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +14 other terms	359	$977	$1.1k	$534	49%	—	$483 – $6.3k
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	359	$978	$965	$334	35%	—	$222 – $4.1k
3	Humana fee schedule · outpatient · +11 other terms	317	$961	$1.4k	$1.5k	108%	—	$477 – $7.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	218	$990	$1.3k	$695	54%	—	$0 – $4.6k
5	WellCare fee schedule · outpatient · +6 other terms	209	$988	$1.0k	$172	17%	—	$222 – $1.9k
6	Devoted fee schedule · outpatient · +3 other terms	165	$959	$952	$52	5%	—	$802 – $1.1k
7	Molina fee schedule · outpatient · +6 other terms	138	$1.4k	$1.3k	$497	38%	—	$506 – $2.5k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$978	$966	$56	6%	—	$835 – $1.1k
9	Cigna fee schedule · outpatient · +13 other terms	105	$1000	$1.2k	$594	51%	—	$454 – $3.5k
10	Anthem fee schedule · outpatient · +8 other terms	80	$835	$1.3k	$1.3k	106%	—	$477 – $7.4k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$851	$1.5k	$1.1k	75%	—	$802 – $7.0k
12	Ambetter facility · fee schedule · outpatient · +7 other terms	47	$1.6k	$1.7k	$445	26%	—	$719 – $2.4k
13	Superior Healthplan fee schedule · outpatient	40	$1.0k	$1.0k	$5	0%	—	$940 – $1.0k
14	Clover fee schedule · outpatient · +3 other terms	37	$972	$986	$34	3%	—	$952 – $1.1k
15	Oscar fee schedule · outpatient · +4 other terms	36	$1.0k	$1.1k	$308	27%	—	$940 – $1.9k
16	Optum fee schedule · outpatient · +3 other terms	33	$971	$1.2k	$537	44%	—	$802 – $2.4k
17	Caresource fee schedule · outpatient · +5 other terms	29	$971	$1.0k	$319	31%	—	$470 – $1.5k
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$1.0k	$915	$234	26%	—	$330 – $1.5k
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$868	$870	$27	3%	—	$791 – $909
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$1.2k	$1.1k	$96	9%	—	$855 – $1.2k
21	Bcbs Tx fee schedule · outpatient	18	$940	$940	—	—	—	$940 – $940
22	Medicare fee schedule · outpatient · +1 other terms	18	$802	$805	$6	1%	—	$802 – $818
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$838	$868	$59	7%	—	$818 – $972
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$991	$1.1k	$282	25%	—	$540 – $1.6k
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.5k	$1.5k	$623	42%	—	$805 – $2.6k

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