Below-knee prosthetic total contact 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

Bk Total Contact

Payers reporting HCPCS L5637

54 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	369	$399.21	$445.49	$168.00 – $1,657
2	Aetna fee schedule · outpatient · +16 other terms	363	$442.39	$479.37	$169.43 – $2,523
3	Humana fee schedule · outpatient · +14 other terms	319	$389.52	$636.11	$246.42 – $3,627
4	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	236	$466.85	$564.95	$0.29 – $2,272
5	WellCare fee schedule · outpatient · +7 other terms	208	$451.24	$460.32	$346.74 – $880.36
6	Devoted fee schedule · outpatient · +5 other terms	165	$353.67	$430.47	$339.81 – $504.57
7	Molina fee schedule · outpatient · +9 other terms	144	$530.31	$616.43	$284.44 – $1,235
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$378.43	$440.29	$353.67 – $485.43
9	Cigna fee schedule · outpatient · +14 other terms	115	$381.96	$592.00	$290.21 – $1,575
10	Anthem fee schedule · outpatient · +15 other terms	88	$353.67	$615.41	$268.34 – $3,537
11	Kaiser fee schedule · outpatient · +12 other terms	70	$360.74	$628.34	$339.81 – $2,675
12	Ambetter facility · fee schedule · outpatient · +7 other terms	47	$667.00	$714.85	$342.11 – $884.19
13	Superior Healthplan fee schedule · outpatient	40	$495.14	$494.97	$462.31 – $495.14
14	Clover fee schedule · outpatient · +3 other terms	37	$442.39	$429.61	$353.67 – $495.14
15	Oscar fee schedule · outpatient · +6 other terms	36	$462.13	$497.74	$371.35 – $798.52
16	Optum fee schedule · outpatient · +4 other terms	33	$353.67	$549.41	$339.81 – $1,179
17	Caresource fee schedule · outpatient · +5 other terms	29	$353.67	$419.27	$193.31 – $728.80
18	Medica facility · fee schedule · outpatient · +5 other terms	23	$482.20	$431.16	$157.19 – $639.85
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$424.40	$420.93	$403.18 – $425.01
20	Bcbs Tx fee schedule · outpatient	18	$462.31	$462.31	$462.31 – $462.31
21	Medicare fee schedule · outpatient · +4 other terms	18	$339.81	$341.05	$339.81 – $346.74
22	Regence facility · fee schedule · outpatient · +5 other terms	16	$367.82	$363.34	$303.72 – $374.89
23	Tricare facility · fee schedule · outpatient · +3 other terms	16	$416.68	$411.24	$346.74 – $462.60
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$471.56	$539.75	$256.71 – $745.06
25	Highmark facility · fee schedule · outpatient · +7 other terms	14	$764.72	$728.97	$400.34 – $1,186

Page 1 of 3 · 54 payers