Soft interface lining for above-knee 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

SOFT INTERFACE ABOVE KNEE SE

Payers reporting HCPCS L2830

Payer pricing summary

Low

$37

Average

$181

Median

$157

High

$465

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +21 other terms	403	$113	$152	$117	77%	—	$1 – $845
2	Aetna fee schedule · outpatient · +21 other terms	374	$115	$148	$103	69%	—	$48 – $1.1k
3	Humana fee schedule · outpatient · +19 other terms	329	$113	$168	$172	102%	—	$55 – $830
4	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	233	$114	$175	$222	127%	—	$0 – $4.7k
5	WellCare fee schedule · outpatient · +11 other terms	217	$113	$119	$28	23%	—	$26 – $259
6	Devoted fee schedule · outpatient · +5 other terms	165	$112	$114	$11	9%	—	$108 – $147
7	Molina fee schedule · outpatient · +14 other terms	151	$157	$151	$56	37%	—	$65 – $288
8	Cigna fee schedule · outpatient · +18 other terms	130	$138	$214	$150	70%	—	$48 – $873
9	Cigna Healthspring fee schedule · outpatient · +4 other terms	116	$116	$114	$10	9%	—	$108 – $148
10	Anthem fee schedule · outpatient · +18 other terms	99	$141	$260	$191	73%	—	$38 – $810
11	Kaiser fee schedule · outpatient · +16 other terms	84	$147	$228	$140	61%	—	$91 – $792
12	Ambetter facility · fee schedule · outpatient · +9 other terms	52	$194	$205	$47	23%	—	$78 – $304
13	Caresource fee schedule · outpatient · +8 other terms	48	$112	$110	$25	23%	—	$56 – $167
14	Clover fee schedule · outpatient · +3 other terms	42	$118	$122	$8	7%	—	$112 – $144
15	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$113	$113	$1	0%	—	$106 – $113
16	Oscar fee schedule · outpatient · +7 other terms	36	$118	$134	$44	33%	—	$106 – $245
17	Optum fee schedule · outpatient · +9 other terms	35	$138	$174	$99	57%	—	$91 – $635
18	MultiPlan fee schedule · outpatient · +13 other terms	26	$359	$447	$208	47%	—	$106 – $1.1k
19	Tricare facility · fee schedule · outpatient · +5 other terms	25	$108	$119	$15	13%	—	$106 – $144
20	Medica facility · fee schedule · outpatient · +10 other terms	24	$110	$104	$27	26%	—	$36 – $180
21	Medicare fee schedule · outpatient · +4 other terms	24	$138	$132	$12	9%	—	$101 – $141
22	Amerihealth Caritas fee schedule · outpatient · +6 other terms	18	$135	$131	$8	6%	—	$110 – $135
23	Bcbs Tx fee schedule · outpatient	18	$106	$106	—	—	—	$106 – $106
24	Regence facility · fee schedule · outpatient · +6 other terms	17	$150	$139	$22	16%	—	$90 – $153
25	First Health fee schedule · outpatient · +8 other terms	16	$298	$404	$166	41%	—	$106 – $945

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