Gluteal pad for pelvic control 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

Pelv & thor control gluteal

Payers reporting HCPCS L2650

Payer pricing summary

Low

$40

Average

$196

Median

$174

High

$470

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +10 other terms	359	$154	$183	$102	55%	—	$69 – $1.2k
2	UnitedHealthcare fee schedule · outpatient · +10 other terms	356	$161	$156	$45	29%	—	$67 – $610
3	Humana fee schedule · outpatient · +11 other terms	317	$143	$234	$269	115%	—	$87 – $1.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	219	$163	$208	$119	57%	—	$0 – $801
5	WellCare fee schedule · outpatient · +4 other terms	208	$163	$167	$25	15%	—	$135 – $276
6	Devoted fee schedule · outpatient · +3 other terms	165	$138	$157	$14	9%	—	$133 – $187
7	Molina fee schedule · outpatient · +5 other terms	138	$241	$229	$87	38%	—	$107 – $435
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$148	$160	$11	7%	—	$138 – $189
9	Cigna fee schedule · outpatient · +8 other terms	102	$149	$178	$62	35%	—	$133 – $498
10	Anthem fee schedule · outpatient · +6 other terms	81	$138	$213	$230	108%	—	$101 – $1.3k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$141	$272	$225	83%	—	$133 – $1.3k
12	Ambetter facility · fee schedule · outpatient · +7 other terms	45	$238	$268	$53	20%	—	$135 – $345
13	Superior Healthplan fee schedule · outpatient	40	$174	$174	$1	0%	—	$163 – $174
14	Clover fee schedule · outpatient · +2 other terms	37	$142	$149	$15	10%	—	$138 – $184
15	Oscar fee schedule · outpatient · +4 other terms	36	$163	$182	$42	23%	—	$145 – $289
16	Optum fee schedule · outpatient · +2 other terms	33	$138	$204	$97	47%	—	$133 – $415
17	Caresource fee schedule · outpatient · +5 other terms	29	$138	$158	$57	36%	—	$75 – $263
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$174	$157	$42	27%	—	$57 – $284
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$143	$151	$12	8%	—	$138 – $176
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$165	$164	$3	2%	—	$157 – $168
21	Bcbs Tx fee schedule · outpatient	18	$163	$163	—	—	—	$163 – $163
22	Medicare fee schedule · outpatient · +3 other terms	18	$133	$133	$1	1%	—	$133 – $135
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$161	$152	$14	9%	—	$127 – $164
24	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$170	$195	$48	25%	—	$93 – $269
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$258	$274	$114	42%	—	$142 – $465

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