Acrylic socket addition for above-knee 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Acrylic Lamination

Payers reporting HCPCS L5631

Payer pricing summary

Low

$140

Average

$711

Median

$664

High

$1.6k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +14 other terms	361	$565	$696	$327	47%	—	$258 – $3.6k
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	358	$558	$613	$144	23%	—	$263 – $1.8k
3	Humana fee schedule · outpatient · +13 other terms	319	$559	$961	$1.2k	122%	—	$281 – $5.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	219	$703	$768	$411	54%	—	$0 – $3.5k
5	WellCare fee schedule · outpatient · +6 other terms	208	$703	$700	$156	22%	—	$519 – $1.4k
6	Devoted fee schedule · outpatient · +4 other terms	165	$538	$655	$88	13%	—	$517 – $767
7	Molina fee schedule · outpatient · +7 other terms	140	$783	$916	$376	41%	—	$318 – $1.9k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$576	$671	$71	11%	—	$538 – $738
9	Cigna fee schedule · outpatient · +13 other terms	104	$565	$675	$225	33%	—	$461 – $1.8k
10	Anthem fee schedule · outpatient · +10 other terms	80	$538	$771	$706	91%	—	$300 – $4.0k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$549	$877	$625	71%	—	$517 – $3.9k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	45	$968	$1.0k	$228	22%	—	$390 – $1.5k
13	Superior Healthplan fee schedule · outpatient	40	$753	$753	$4	0%	—	$703 – $753
14	Clover fee schedule · outpatient · +3 other terms	37	$703	$667	$78	12%	—	$538 – $753
15	Oscar fee schedule · outpatient · +6 other terms	36	$703	$713	$134	19%	—	$565 – $943
16	Optum fee schedule · outpatient · +4 other terms	33	$538	$827	$449	54%	—	$517 – $1.8k
17	Caresource fee schedule · outpatient · +5 other terms	29	$538	$559	$168	30%	—	$294 – $831
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$550	$504	$132	26%	—	$179 – $896
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$559	$541	$36	7%	—	$448 – $570
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$645	$643	$15	2%	—	$613 – $670
21	Bcbs Tx fee schedule · outpatient	18	$703	$703	—	—	—	$703 – $703
22	Medicare fee schedule · outpatient · +3 other terms	18	$517	$519	$4	1%	—	$517 – $527
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$657	$642	$60	9%	—	$527 – $717
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$538	$623	$154	25%	—	$293 – $850
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.2k	$1.1k	$474	41%	—	$631 – $1.9k

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