Below-knee prosthetic socket, acrylic

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

Bk Acrylic Socket

Payers reporting HCPCS L5629

Payer pricing summary

Low

$101

Average

$538

Median

$493

High

$1.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	365	$432	$483	$169	35%	—	$190 – $1.4k
2	Aetna fee schedule · outpatient · +16 other terms	363	$413	$513	$246	48%	—	$186 – $2.6k
3	Humana fee schedule · outpatient · +14 other terms	320	$405	$696	$844	121%	—	$203 – $4.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	225	$509	$573	$317	55%	—	$0 – $2.5k
5	WellCare fee schedule · outpatient · +7 other terms	208	$509	$506	$113	22%	—	$375 – $1.0k
6	Devoted fee schedule · outpatient · +5 other terms	165	$389	$474	$64	13%	—	$374 – $555
7	Molina fee schedule · outpatient · +9 other terms	144	$566	$639	$284	44%	—	$198 – $1.4k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$416	$487	$52	11%	—	$389 – $534
9	Cigna fee schedule · outpatient · +14 other terms	111	$420	$602	$289	48%	—	$334 – $1.5k
10	Anthem fee schedule · outpatient · +12 other terms	87	$389	$556	$455	82%	—	$141 – $2.9k
11	Kaiser fee schedule · outpatient · +10 other terms	69	$397	$593	$446	75%	—	$141 – $2.9k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$700	$739	$163	22%	—	$282 – $1.1k
13	Superior Healthplan fee schedule · outpatient	40	$545	$544	$3	0%	—	$509 – $545
14	Clover fee schedule · outpatient · +3 other terms	37	$509	$482	$56	12%	—	$389 – $545
15	Oscar fee schedule · outpatient · +6 other terms	36	$508	$515	$97	19%	—	$409 – $682
16	Optum fee schedule · outpatient · +4 other terms	33	$389	$601	$324	54%	—	$374 – $1.3k
17	Caresource fee schedule · outpatient · +5 other terms	29	$389	$404	$121	30%	—	$213 – $601
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$398	$365	$95	26%	—	$130 – $648
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$467	$468	$18	4%	—	$444 – $514
20	Bcbs Tx fee schedule · outpatient	18	$509	$509	—	—	—	$509 – $509
21	Medicare fee schedule · outpatient · +3 other terms	18	$374	$375	$3	1%	—	$374 – $381
22	Regence facility · fee schedule · outpatient · +6 other terms	17	$405	$395	$25	6%	—	$324 – $412
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$504	$480	$49	10%	—	$381 – $519
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$389	$451	$112	25%	—	$212 – $615
25	Highmark facility · fee schedule · outpatient · +6 other terms	14	$910	$882	$363	41%	—	$484 – $1.4k

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