Adjustable hip flexion pelvic control add-on for 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

Hip joint adjustable flexion

Payers reporting HCPCS L2622

Payer pricing summary

Low

$122

Average

$497

Median

$469

High

$1.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	371	$377	$417	$178	43%	—	$1 – $1.7k
2	Aetna fee schedule · outpatient · +21 other terms	365	$391	$462	$249	54%	—	$171 – $3.5k
3	Humana fee schedule · outpatient · +17 other terms	322	$366	$627	$766	122%	—	$158 – $3.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	228	$461	$551	$435	79%	—	$0 – $7.7k
5	WellCare fee schedule · outpatient · +8 other terms	211	$378	$447	$77	17%	—	$105 – $688
6	Devoted fee schedule · outpatient · +4 other terms	165	$352	$429	$57	13%	—	$339 – $503
7	Molina fee schedule · outpatient · +12 other terms	144	$513	$607	$245	40%	—	$141 – $1.2k
8	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$377	$438	$47	11%	—	$352 – $484
9	Cigna fee schedule · outpatient · +16 other terms	114	$381	$525	$311	59%	—	$171 – $1.5k
10	Anthem fee schedule · outpatient · +17 other terms	88	$352	$554	$490	88%	—	$223 – $2.9k
11	Kaiser fee schedule · outpatient · +13 other terms	69	$359	$614	$423	69%	—	$299 – $2.6k
12	Ambetter facility · fee schedule · outpatient · +8 other terms	46	$667	$690	$128	19%	—	$345 – $991
13	Superior Healthplan fee schedule · outpatient	40	$493	$493	$2	0%	—	$461 – $493
14	Clover fee schedule · outpatient · +2 other terms	37	$352	$385	$58	15%	—	$345 – $493
15	Oscar fee schedule · outpatient · +6 other terms	36	$460	$493	$132	27%	—	$370 – $799
16	Optum fee schedule · outpatient · +5 other terms	33	$352	$542	$294	54%	—	$339 – $1.2k
17	Caresource fee schedule · outpatient · +6 other terms	32	$352	$370	$128	34%	—	$193 – $604
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$400	$363	$93	26%	—	$130 – $617
19	Regence facility · fee schedule · outpatient · +5 other terms	19	$366	$355	$23	7%	—	$294 – $374
20	Amerihealth Caritas fee schedule · outpatient · +3 other terms	18	$423	$417	$9	2%	—	$402 – $423
21	Bcbs Tx fee schedule · outpatient	18	$461	$461	—	—	—	$461 – $461
22	Medicare fee schedule · outpatient · +1 other terms	18	$339	$340	$3	1%	—	$339 – $345
23	Tricare facility · fee schedule · outpatient · +3 other terms	18	$390	$374	$25	7%	—	$317 – $394
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$391	$451	$111	25%	—	$213 – $618
25	Highmark facility · fee schedule · outpatient · +7 other terms	14	$656	$657	$277	42%	—	$352 – $1.1k

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