Above-knee prosthetic test socket addition

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

Ak Test Socket

Payers reporting HCPCS L5624

Payer pricing summary

Low

$132

Average

$601

Median

$557

High

$1.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	362	$482	$504	$135	27%	—	$218 – $1.5k
2	Aetna fee schedule · outpatient · +16 other terms	361	$502	$575	$273	47%	—	$213 – $3.1k
3	Humana fee schedule · outpatient · +13 other terms	319	$484	$794	$969	122%	—	$257 – $4.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	223	$582	$662	$358	54%	—	$0 – $2.9k
5	WellCare fee schedule · outpatient · +7 other terms	208	$504	$574	$106	18%	—	$436 – $1.0k
6	Devoted fee schedule · outpatient · +4 other terms	165	$446	$542	$73	13%	—	$429 – $635
7	Molina fee schedule · outpatient · +7 other terms	144	$671	$755	$315	42%	—	$267 – $1.6k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$476	$553	$59	11%	—	$445 – $611
9	Cigna fee schedule · outpatient · +14 other terms	108	$467	$578	$205	35%	—	$331 – $1.4k
10	Anthem fee schedule · outpatient · +11 other terms	84	$446	$647	$621	96%	—	$215 – $3.7k
11	Kaiser fee schedule · outpatient · +7 other terms	68	$455	$733	$530	72%	—	$215 – $3.4k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	45	$750	$854	$179	21%	—	$357 – $1.3k
13	Superior Healthplan fee schedule · outpatient	40	$623	$623	$3	0%	—	$582 – $623
14	Clover fee schedule · outpatient · +3 other terms	37	$504	$517	$59	11%	—	$445 – $623
15	Oscar fee schedule · outpatient · +6 other terms	36	$582	$605	$131	22%	—	$467 – $865
16	Optum fee schedule · outpatient · +4 other terms	33	$445	$684	$372	54%	—	$429 – $1.5k
17	Caresource fee schedule · outpatient · +5 other terms	29	$445	$483	$159	33%	—	$243 – $760
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$503	$456	$115	25%	—	$164 – $741
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$464	$453	$24	5%	—	$384 – $473
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$534	$527	$12	2%	—	$506 – $534
21	Bcbs Tx fee schedule · outpatient	18	$582	$582	—	—	—	$582 – $582
22	Medicare fee schedule · outpatient · +3 other terms	18	$429	$431	$3	1%	—	$429 – $438
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$492	$567	$140	25%	—	$268 – $777
24	Highmark facility · fee schedule · outpatient · +4 other terms	14	$889	$853	$352	41%	—	$477 – $1.4k
25	Tricare facility · fee schedule · outpatient · +2 other terms	14	$496	$484	$27	6%	—	$436 – $514

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