Replacement lacer for custom thigh 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

Replace non-molded thigh lac

Payers reporting HCPCS L4045

Payer pricing summary

Low

$130

Average

$450

Median

$414

High

$874

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +9 other terms	361	$384	$464	$259	56%	—	$188 – $3.7k
2	UnitedHealthcare fee schedule · outpatient · +11 other terms	358	$381	$389	$105	27%	—	$147 – $1.3k
3	Humana fee schedule · outpatient · +9 other terms	319	$388	$579	$607	105%	—	$193 – $2.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	219	$384	$532	$299	56%	—	$0 – $1.8k
5	WellCare fee schedule · outpatient · +5 other terms	208	$388	$406	$66	16%	—	$364 – $735
6	Devoted fee schedule · outpatient · +3 other terms	165	$377	$388	$24	6%	—	$377 – $512
7	Molina fee schedule · outpatient · +4 other terms	140	$555	$532	$203	38%	—	$187 – $988
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$392	$390	$25	6%	—	$377 – $517
9	Cigna fee schedule · outpatient · +7 other terms	102	$425	$452	$117	26%	—	$370 – $1.1k
10	Anthem fee schedule · outpatient · +6 other terms	80	$445	$558	$489	88%	—	$213 – $2.8k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$463	$682	$437	64%	—	$380 – $2.8k
12	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$396	$396	$2	0%	—	$370 – $396
13	Clover fee schedule · outpatient · +2 other terms	37	$377	$386	$22	6%	—	$370 – $503
14	Oscar fee schedule · outpatient · +4 other terms	36	$396	$464	$155	33%	—	$369 – $854
15	Ambetter facility · fee schedule · outpatient · +6 other terms	35	$714	$755	$139	18%	—	$370 – $1.1k
16	Optum fee schedule · outpatient · +2 other terms	33	$436	$516	$187	36%	—	$364 – $942
17	Caresource fee schedule · outpatient · +5 other terms	28	$377	$405	$110	27%	—	$213 – $583
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$472	$437	$58	13%	—	$317 – $481
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$452	$441	$22	5%	—	$384 – $452
20	Bcbs Tx fee schedule · outpatient	18	$370	$370	—	—	—	$370 – $370
21	Medicare fee schedule · outpatient · +1 other terms	18	$436	$438	$3	1%	—	$436 – $445
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$377	$437	$108	25%	—	$205 – $596
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$343	$343	$80	23%	—	$167 – $402
24	Wellmark fee schedule · both · +1 other terms	13	$378	$375	$17	4%	—	$274 – $378
25	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$199	$270	$84	31%	—	$199 – $370

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