Knee disarticulation prosthesis addition with leather socket

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

Knee disarticulat leather so

Payers reporting HCPCS L5640

Payer pricing summary

Low

$247

Average

$1.1k

Median

$976

High

$2.9k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +10 other terms	359	$822	$1.0k	$564	55%	—	$375 – $6.9k
2	UnitedHealthcare fee schedule · outpatient · +12 other terms	356	$798	$865	$256	30%	—	$383 – $3.4k
3	Humana fee schedule · outpatient · +9 other terms	317	$833	$1.2k	$1.3k	103%	—	$471 – $6.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	218	$798	$1.1k	$654	58%	—	$0 – $4.0k
5	WellCare fee schedule · outpatient · +4 other terms	208	$822	$874	$227	26%	—	$767 – $2.0k
6	Devoted fee schedule · outpatient · +3 other terms	165	$783	$817	$78	10%	—	$783 – $1.1k
7	Molina fee schedule · outpatient · +4 other terms	138	$1.2k	$1.1k	$440	38%	—	$506 – $2.1k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$838	$821	$73	9%	—	$783 – $1.1k
9	Cigna fee schedule · outpatient · +7 other terms	102	$845	$1.0k	$327	32%	—	$767 – $2.6k
10	Anthem fee schedule · outpatient · +6 other terms	81	$1.0k	$1.3k	$1.2k	94%	—	$477 – $6.8k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$1.1k	$1.7k	$1.2k	71%	—	$1.0k – $7.5k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	44	$1.4k	$1.5k	$291	19%	—	$767 – $2.0k
13	Superior Healthplan fee schedule · outpatient	40	$822	$822	$4	0%	—	$767 – $822
14	Clover fee schedule · outpatient · +2 other terms	37	$1.0k	$916	$106	12%	—	$783 – $1.0k
15	Oscar fee schedule · outpatient · +4 other terms	36	$822	$951	$277	29%	—	$767 – $1.6k
16	Optum fee schedule · outpatient · +2 other terms	33	$1.0k	$1.1k	$370	33%	—	$783 – $2.0k
17	Caresource fee schedule · outpatient · +5 other terms	29	$783	$862	$301	35%	—	$428 – $1.4k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$923	$853	$217	25%	—	$301 – $1.4k
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$1.1k	$1.0k	$76	7%	—	$854 – $1.1k
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$939	$924	$26	3%	—	$868 – $939
21	Bcbs Tx fee schedule · outpatient	18	$767	$767	—	—	—	$767 – $767
22	Medicare fee schedule · outpatient · +1 other terms	18	$1.0k	$1.0k	$8	1%	—	$1.0k – $1.0k
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$851	$907	$92	10%	—	$767 – $1.0k
24	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$902	$1.0k	$257	25%	—	$491 – $1.4k
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.6k	$1.6k	$653	42%	—	$818 – $2.7k

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