Soft liner for below-knee prosthesis

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

SOFT INTERFACE BELOW KNEE SE

Payers reporting HCPCS L2820

Payer pricing summary

Low

$35

Average

$179

Median

$141

High

$997

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	403	$102	$163	$169	104%	—	$1 – $1.7k
2	Aetna fee schedule · outpatient · +22 other terms	374	$102	$139	$92	66%	—	$46 – $1.3k
3	Humana fee schedule · outpatient · +21 other terms	329	$104	$152	$158	104%	—	$51 – $768
4	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	244	$102	$167	$137	82%	—	$0 – $1.3k
5	WellCare fee schedule · outpatient · +12 other terms	218	$103	$108	$23	21%	—	$38 – $224
6	Devoted fee schedule · outpatient · +7 other terms	164	$100	$104	$10	10%	—	$100 – $136
7	Molina fee schedule · outpatient · +16 other terms	152	$144	$140	$51	37%	—	$60 – $266
8	Cigna fee schedule · outpatient · +20 other terms	129	$128	$240	$195	81%	—	$50 – $1.8k
9	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$104	$104	$9	9%	—	$100 – $137
10	Anthem fee schedule · outpatient · +17 other terms	99	$130	$256	$185	72%	—	$37 – $748
11	Kaiser fee schedule · outpatient · +16 other terms	85	$136	$213	$143	67%	—	$79 – $889
12	Ambetter facility · fee schedule · outpatient · +12 other terms	59	$180	$182	$39	22%	—	$72 – $280
13	Caresource fee schedule · outpatient · +11 other terms	49	$100	$101	$20	19%	—	$55 – $154
14	Clover fee schedule · outpatient · +3 other terms	42	$105	$108	$6	5%	—	$100 – $133
15	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$105	$105	$1	0%	—	$98 – $105
16	Oscar fee schedule · outpatient · +8 other terms	36	$105	$122	$41	33%	—	$98 – $226
17	Optum fee schedule · outpatient · +9 other terms	34	$128	$173	$111	64%	—	$88 – $635
18	Tricare facility · fee schedule · outpatient · +7 other terms	33	$100	$104	$14	14%	—	$80 – $133
19	Medica facility · fee schedule · outpatient · +12 other terms	27	$102	$96	$24	25%	—	$33 – $166
20	MultiPlan fee schedule · outpatient · +14 other terms	27	$433	$461	$221	48%	—	$98 – $1.1k
21	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$238	$157	$89	57%	—	$57 – $257
22	Medicare fee schedule · outpatient · +6 other terms	24	$128	$122	$13	10%	—	$93 – $130
23	Amerihealth Caritas fee schedule · outpatient · +5 other terms	18	$120	$117	$6	5%	—	$102 – $120
24	Bcbs Tx fee schedule · outpatient	18	$98	$98	—	—	—	$98 – $98
25	Regence facility · fee schedule · outpatient · +7 other terms	17	$138	$129	$20	16%	—	$83 – $141

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