Below-knee prosthetic leather 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

Below knee leather socket

Payers reporting HCPCS L5638

Payer pricing summary

Low

$206

Average

$830

Median

$748

High

$2.0k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +10 other terms	359	$635	$776	$399	51%	—	$295 – $4.8k
2	UnitedHealthcare fee schedule · outpatient · +10 other terms	356	$630	$660	$181	27%	—	$291 – $2.2k
3	Humana fee schedule · outpatient · +9 other terms	317	$635	$953	$994	104%	—	$415 – $4.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	218	$628	$893	$540	60%	—	$0 – $3.0k
5	WellCare fee schedule · outpatient · +4 other terms	208	$636	$676	$141	21%	—	$584 – $1.4k
6	Devoted fee schedule · outpatient · +3 other terms	165	$618	$640	$53	8%	—	$596 – $810
7	Molina fee schedule · outpatient · +4 other terms	138	$910	$895	$343	38%	—	$455 – $1.6k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$634	$641	$49	8%	—	$616 – $818
9	Cigna fee schedule · outpatient · +7 other terms	102	$665	$754	$243	32%	—	$604 – $2.3k
10	Anthem fee schedule · outpatient · +6 other terms	81	$779	$1.0k	$1.1k	105%	—	$429 – $6.0k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$810	$1.2k	$767	65%	—	$675 – $5.0k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$1.1k	$1.2k	$261	22%	—	$584 – $1.5k
13	Superior Healthplan fee schedule · outpatient	40	$649	$649	$3	0%	—	$606 – $649
14	Clover fee schedule · outpatient · +2 other terms	37	$703	$674	$37	5%	—	$616 – $794
15	Oscar fee schedule · outpatient · +4 other terms	36	$647	$759	$238	31%	—	$606 – $1.4k
16	Optum fee schedule · outpatient · +2 other terms	33	$763	$864	$301	35%	—	$584 – $1.5k
17	Caresource fee schedule · outpatient · +5 other terms	28	$616	$740	$268	36%	—	$429 – $1.2k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$812	$737	$177	24%	—	$265 – $1.1k
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$826	$768	$98	13%	—	$563 – $842
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$739	$719	$41	6%	—	$608 – $739
21	Bcbs Tx fee schedule · outpatient	18	$606	$606	—	—	—	$606 – $606
22	Medicare fee schedule · outpatient · +1 other terms	18	$763	$766	$6	1%	—	$763 – $779
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$794	$909	$227	25%	—	$432 – $1.3k
24	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.1k	$1.1k	$453	41%	—	$572 – $1.9k
25	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$723	$722	$169	23%	—	$352 – $846

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