Replacement high-roll cuff for orthosis

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 high roll cuff

Payers reporting HCPCS L4060

Payer pricing summary

Low

$126

Average

$452

Median

$406

High

$884

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$374	$469	$277	59%	—	$182 – $3.5k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	358	$372	$388	$121	31%	—	$116 – $1.5k
3	Humana fee schedule · outpatient · +10 other terms	319	$376	$565	$588	104%	—	$205 – $2.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	220	$372	$526	$302	57%	—	$0 – $1.8k
5	WellCare fee schedule · outpatient · +5 other terms	208	$380	$397	$66	17%	—	$358 – $712
6	Devoted fee schedule · outpatient · +4 other terms	165	$365	$381	$37	10%	—	$365 – $496
7	Molina fee schedule · outpatient · +5 other terms	140	$538	$532	$207	39%	—	$116 – $973
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$380	$381	$33	9%	—	$365 – $501
9	Cigna fee schedule · outpatient · +10 other terms	102	$394	$459	$131	29%	—	$358 – $1.2k
10	Anthem fee schedule · outpatient · +8 other terms	80	$477	$569	$524	92%	—	$212 – $3.0k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$497	$771	$536	70%	—	$464 – $3.4k
12	Superior Healthplan fee schedule · outpatient	40	$383	$383	$2	0%	—	$358 – $383
13	Clover fee schedule · outpatient · +3 other terms	37	$365	$374	$22	6%	—	$358 – $487
14	Oscar fee schedule · outpatient · +4 other terms	36	$383	$450	$149	33%	—	$358 – $828
15	Ambetter facility · fee schedule · outpatient · +6 other terms	35	$719	$732	$133	18%	—	$358 – $913
16	Optum fee schedule · outpatient · +4 other terms	33	$468	$514	$176	34%	—	$365 – $913
17	Caresource fee schedule · outpatient · +5 other terms	29	$365	$393	$130	33%	—	$200 – $617
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$506	$484	$41	8%	—	$387 – $516
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$438	$427	$21	5%	—	$372 – $438
20	Bcbs Tx fee schedule · outpatient	18	$358	$358	—	—	—	$358 – $358
21	Medicare fee schedule · outpatient · +1 other terms	18	$468	$470	$4	1%	—	$468 – $477
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$399	$461	$114	25%	—	$217 – $631
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$363	$363	$85	23%	—	$177 – $425
24	Wellmark fee schedule · both · +1 other terms	13	$350	$349	$10	3%	—	$291 – $350
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$211	$272	$72	27%	—	$211 – $358

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