Lower leg prosthetic socket addition, Syme type

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

Symes type poster opening so

Payers reporting HCPCS L5634

Payer pricing summary

Low

$129

Average

$485

Median

$426

High

$923

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$391	$480	$266	56%	—	$178 – $3.4k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	358	$380	$404	$110	27%	—	$182 – $1.4k
3	Humana fee schedule · outpatient · +12 other terms	319	$387	$580	$598	103%	—	$209 – $2.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$380	$539	$310	58%	—	$0 – $1.8k
5	WellCare fee schedule · outpatient · +5 other terms	208	$391	$411	$87	21%	—	$365 – $852
6	Devoted fee schedule · outpatient · +3 other terms	165	$372	$389	$37	10%	—	$372 – $506
7	Molina fee schedule · outpatient · +5 other terms	140	$548	$537	$205	38%	—	$222 – $992
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$387	$389	$34	9%	—	$372 – $511
9	Cigna fee schedule · outpatient · +11 other terms	104	$420	$463	$135	29%	—	$281 – $1.2k
10	Anthem fee schedule · outpatient · +6 other terms	80	$487	$592	$544	92%	—	$209 – $3.1k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$506	$748	$492	66%	—	$432 – $3.2k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$705	$721	$142	20%	—	$365 – $1.0k
13	Superior Healthplan fee schedule · outpatient	40	$391	$391	$2	0%	—	$365 – $391
14	Clover fee schedule · outpatient · +3 other terms	37	$428	$409	$25	6%	—	$372 – $497
15	Oscar fee schedule · outpatient · +4 other terms	36	$391	$461	$153	33%	—	$365 – $844
16	Optum fee schedule · outpatient · +3 other terms	33	$477	$525	$178	34%	—	$372 – $931
17	Caresource fee schedule · outpatient · +5 other terms	28	$372	$416	$132	32%	—	$209 – $641
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$424	$394	$103	26%	—	$138 – $667
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$516	$483	$58	12%	—	$360 – $526
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$447	$436	$21	5%	—	$380 – $447
21	Bcbs Tx fee schedule · outpatient	18	$365	$365	—	—	—	$365 – $365
22	Medicare fee schedule · outpatient · +3 other terms	18	$477	$479	$4	1%	—	$477 – $487
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$372	$399	$42	11%	—	$365 – $487
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$415	$478	$118	25%	—	$226 – $655
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$689	$680	$280	41%	—	$358 – $1.1k

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