Symes-type prosthetic 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

Syme typ expandabl wall sckt

Payers reporting HCPCS L5630

Payer pricing summary

Low

$175

Average

$751

Median

$665

High

$1.6k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	359	$621	$706	$357	51%	—	$263 – $4.1k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	356	$597	$595	$162	27%	—	$269 – $2.1k
3	Humana fee schedule · outpatient · +12 other terms	317	$588	$909	$1.0k	113%	—	$353 – $4.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	218	$633	$832	$472	57%	—	$0 – $3.1k
5	WellCare fee schedule · outpatient · +6 other terms	208	$632	$647	$90	14%	—	$539 – $1.1k
6	Devoted fee schedule · outpatient · +3 other terms	165	$600	$615	$39	6%	—	$549 – $747
7	Molina fee schedule · outpatient · +5 other terms	138	$902	$870	$331	38%	—	$388 – $1.7k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$588	$618	$30	5%	—	$549 – $754
9	Cigna fee schedule · outpatient · +11 other terms	102	$621	$679	$205	30%	—	$539 – $2.0k
10	Anthem fee schedule · outpatient · +6 other terms	80	$588	$854	$914	107%	—	$366 – $5.1k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$612	$1.0k	$730	72%	—	$577 – $4.6k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	45	$958	$1.1k	$219	21%	—	$539 – $1.4k
13	Superior Healthplan fee schedule · outpatient	40	$665	$665	$3	0%	—	$621 – $665
14	Clover fee schedule · outpatient · +3 other terms	37	$555	$582	$51	9%	—	$544 – $733
15	Oscar fee schedule · outpatient · +6 other terms	36	$621	$723	$197	27%	—	$577 – $1.2k
16	Optum fee schedule · outpatient · +3 other terms	33	$577	$802	$353	44%	—	$549 – $1.6k
17	Caresource fee schedule · outpatient · +5 other terms	29	$549	$624	$231	37%	—	$300 – $1.0k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$691	$630	$169	27%	—	$225 – $1.2k
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$624	$609	$33	5%	—	$517 – $636
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$659	$643	$32	5%	—	$560 – $659
21	Bcbs Tx fee schedule · outpatient	18	$621	$621	—	—	—	$621 – $621
22	Medicare fee schedule · outpatient · +3 other terms	18	$577	$579	$4	1%	—	$577 – $588
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$549	$550	$19	4%	—	$500 – $588
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$676	$776	$193	25%	—	$368 – $1.1k
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$959	$948	$396	42%	—	$528 – $1.6k

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