Replacement trilateral socket brim for 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Replace trilateral socket br

Payers reporting HCPCS L4010

Payer pricing summary

Low

$267

Average

$1.0k

Median

$883

High

$2.6k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +7 other terms	359	$852	$1.0k	$542	54%	—	$420 – $6.5k
2	UnitedHealthcare fee schedule · outpatient · +10 other terms	356	$844	$846	$240	28%	—	$377 – $3.1k
3	Humana fee schedule · outpatient · +9 other terms	317	$844	$1.2k	$1.3k	103%	—	$507 – $6.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	218	$860	$1.2k	$680	58%	—	$0 – $3.8k
5	WellCare fee schedule · outpatient · +4 other terms	208	$861	$873	$172	20%	—	$756 – $1.8k
6	Devoted fee schedule · outpatient · +3 other terms	165	$838	$815	$34	4%	—	$791 – $1.0k
7	Molina fee schedule · outpatient · +4 other terms	138	$1.2k	$1.1k	$429	37%	—	$557 – $2.1k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$836	$823	$51	6%	—	$791 – $1.1k
9	Cigna fee schedule · outpatient · +6 other terms	102	$869	$964	$306	32%	—	$776 – $2.9k
10	Anthem fee schedule · outpatient · +6 other terms	81	$827	$1.2k	$1.3k	109%	—	$526 – $7.4k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$853	$1.5k	$1.1k	74%	—	$803 – $6.8k
12	Superior Healthplan fee schedule · outpatient	40	$831	$831	$4	0%	—	$776 – $831
13	Clover fee schedule · outpatient · +2 other terms	37	$892	$878	$35	4%	—	$831 – $1.0k
14	Oscar fee schedule · outpatient · +4 other terms	36	$886	$999	$312	31%	—	$775 – $1.7k
15	Ambetter facility · fee schedule · outpatient · +6 other terms	35	$1.8k	$1.7k	$333	20%	—	$756 – $2.1k
16	Optum fee schedule · outpatient · +2 other terms	33	$844	$1.1k	$398	37%	—	$771 – $2.0k
17	Caresource fee schedule · outpatient · +5 other terms	28	$844	$964	$316	33%	—	$526 – $1.5k
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$869	$863	$30	3%	—	$766 – $886
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$1.0k	$979	$70	7%	—	$787 – $1.0k
20	Bcbs Tx fee schedule · outpatient	18	$776	$776	—	—	—	$776 – $776
21	Medicare fee schedule · outpatient · +1 other terms	18	$803	$806	$6	1%	—	$803 – $820
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$987	$1.1k	$282	25%	—	$537 – $1.6k
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$898	$897	$210	23%	—	$437 – $1.1k
24	Wellmark fee schedule · both · +1 other terms	13	$805	$802	$14	2%	—	$718 – $805
25	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$522	$649	$150	23%	—	$522 – $827

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