Test socket addition for hemipelvectomy 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-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

Test socket hemipelvectomy

Payers reporting HCPCS L5628

Payer pricing summary

Low

$154

Average

$825

Median

$713

High

$1.7k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	359	$668	$774	$391	51%	—	$299 – $4.9k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	356	$651	$673	$182	27%	—	$289 – $2.5k
3	Humana fee schedule · outpatient · +10 other terms	317	$643	$999	$1.1k	114%	—	$412 – $5.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$690	$875	$505	58%	—	$0 – $3.4k
5	WellCare fee schedule · outpatient · +4 other terms	208	$690	$717	$99	14%	—	$598 – $1.2k
6	Devoted fee schedule · outpatient · +3 other terms	165	$624	$674	$48	7%	—	$568 – $804
7	Molina fee schedule · outpatient · +5 other terms	138	$938	$969	$369	38%	—	$471 – $1.8k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$668	$688	$35	5%	—	$591 – $811
9	Cigna fee schedule · outpatient · +9 other terms	102	$655	$755	$257	34%	—	$568 – $2.3k
10	Anthem fee schedule · outpatient · +6 other terms	80	$612	$945	$1.1k	114%	—	$445 – $5.9k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$603	$1.1k	$894	81%	—	$568 – $5.4k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	45	$1.1k	$1.2k	$284	24%	—	$612 – $1.6k
13	Superior Healthplan fee schedule · outpatient	40	$738	$738	$4	0%	—	$690 – $738
14	Clover fee schedule · outpatient · +2 other terms	37	$624	$648	$57	9%	—	$598 – $788
15	Oscar fee schedule · outpatient · +4 other terms	36	$689	$767	$140	18%	—	$655 – $1.1k
16	Optum fee schedule · outpatient · +2 other terms	33	$624	$870	$406	47%	—	$568 – $1.8k
17	Caresource fee schedule · outpatient · +5 other terms	29	$624	$719	$270	38%	—	$341 – $1.2k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$806	$719	$181	25%	—	$263 – $1.1k
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$615	$634	$33	5%	—	$591 – $709
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$749	$734	$26	3%	—	$673 – $749
21	Bcbs Tx fee schedule · outpatient	18	$690	$690	—	—	—	$690 – $690
22	Medicare fee schedule · outpatient · +1 other terms	18	$568	$570	$4	1%	—	$568 – $579
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$647	$629	$35	6%	—	$549 – $660
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$788	$902	$226	25%	—	$429 – $1.2k
25	Highmark facility · fee schedule · outpatient · +5 other terms	14	$1.1k	$1.1k	$447	41%	—	$610 – $1.9k

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