Above-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

Above knee leather socket

Payers reporting HCPCS L5642

Payer pricing summary

Low

$197

Average

$1.0k

Median

$898

High

$2.5k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +10 other terms	359	$789	$974	$510	52%	—	$363 – $6.8k
2	UnitedHealthcare fee schedule · outpatient · +10 other terms	356	$786	$824	$252	31%	—	$371 – $3.4k
3	Humana fee schedule · outpatient · +9 other terms	317	$789	$1.2k	$1.2k	105%	—	$437 – $6.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	218	$782	$1.0k	$576	55%	—	$0 – $3.8k
5	WellCare fee schedule · outpatient · +4 other terms	208	$806	$852	$181	21%	—	$744 – $1.8k
6	Devoted fee schedule · outpatient · +3 other terms	165	$782	$806	$71	9%	—	$759 – $1.0k
7	Molina fee schedule · outpatient · +4 other terms	138	$1.2k	$1.1k	$435	39%	—	$465 – $2.0k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$798	$807	$62	8%	—	$759 – $1.0k
9	Cigna fee schedule · outpatient · +7 other terms	102	$819	$966	$292	30%	—	$744 – $2.5k
10	Anthem fee schedule · outpatient · +6 other terms	81	$992	$1.2k	$1.1k	93%	—	$438 – $6.3k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$1.0k	$1.6k	$1.2k	74%	—	$872 – $7.4k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$1.3k	$1.4k	$318	23%	—	$744 – $1.9k
13	Superior Healthplan fee schedule · outpatient	40	$821	$821	$4	0%	—	$767 – $821
14	Clover fee schedule · outpatient · +2 other terms	37	$887	$846	$53	6%	—	$759 – $1.0k
15	Oscar fee schedule · outpatient · +4 other terms	36	$796	$899	$193	21%	—	$767 – $1.3k
16	Optum fee schedule · outpatient · +2 other terms	33	$972	$1.1k	$386	36%	—	$759 – $2.0k
17	Caresource fee schedule · outpatient · +5 other terms	28	$759	$845	$262	31%	—	$438 – $1.3k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$856	$794	$205	26%	—	$279 – $1.3k
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$1.1k	$1.0k	$67	7%	—	$843 – $1.1k
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$910	$888	$43	5%	—	$777 – $910
21	Bcbs Tx fee schedule · outpatient	18	$767	$767	—	—	—	$767 – $767
22	Medicare fee schedule · outpatient · +1 other terms	18	$972	$975	$8	1%	—	$972 – $992
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$836	$965	$238	25%	—	$455 – $1.3k
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$762	$821	$88	11%	—	$744 – $992
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.4k	$1.4k	$572	41%	—	$732 – $2.4k

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