Orthotic side bar disconnect device

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

C CTUO ORTHOTIC BAR DISCONECT DEVICE , PER BAR

Payers reporting HCPCS L2768

Payer pricing summary

Low

$41

Average

$200

Median

$172

High

$457

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	375	$163	$165	$58	35%	—	$1 – $647
2	Aetna fee schedule · outpatient · +16 other terms	363	$162	$190	$94	50%	—	$80 – $1.0k
3	Humana fee schedule · outpatient · +14 other terms	320	$160	$240	$257	107%	—	$82 – $1.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	221	$164	$210	$110	52%	—	$0 – $776
5	WellCare fee schedule · outpatient · +6 other terms	208	$166	$170	$25	15%	—	$153 – $305
6	Devoted fee schedule · outpatient · +4 other terms	165	$161	$162	$4	2%	—	$156 – $194
7	Molina fee schedule · outpatient · +7 other terms	140	$228	$219	$84	38%	—	$93 – $422
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$164	$164	$6	3%	—	$161 – $196
9	Cigna fee schedule · outpatient · +14 other terms	108	$166	$197	$87	44%	—	$101 – $603
10	Anthem fee schedule · outpatient · +11 other terms	83	$159	$221	$210	95%	—	$93 – $1.2k
11	Kaiser fee schedule · outpatient · +7 other terms	65	$165	$256	$179	70%	—	$156 – $1.1k
12	Caresource fee schedule · outpatient · +5 other terms	41	$161	$163	$37	23%	—	$88 – $247
13	Superior Healthplan fee schedule · outpatient	40	$169	$169	$1	0%	—	$158 – $169
14	Clover fee schedule · outpatient · +3 other terms	37	$161	$162	$9	5%	—	$153 – $191
15	Oscar fee schedule · outpatient · +6 other terms	36	$169	$186	$39	21%	—	$158 – $271
16	Ambetter facility · fee schedule · outpatient · +7 other terms	35	$288	$298	$77	26%	—	$116 – $402
17	Optum fee schedule · outpatient · +5 other terms	33	$161	$210	$85	40%	—	$154 – $402
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$164	$150	$39	26%	—	$53 – $265
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$168	$161	$13	8%	—	$130 – $172
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$193	$188	$11	6%	—	$159 – $193
21	Bcbs Tx fee schedule · outpatient	18	$158	$158	—	—	—	$158 – $158
22	Medicare fee schedule · outpatient · +3 other terms	18	$156	$156	$1	1%	—	$156 – $159
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$160	$185	$46	25%	—	$87 – $253
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$146	$146	$34	23%	—	$71 – $171
25	Wellmark fee schedule · both · +4 other terms	13	$153	$152	$6	4%	—	$117 – $153

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