Above-knee prosthetic leg wood 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 wood socket

Payers reporting HCPCS L5644

Payer pricing summary

Low

$188

Average

$934

Median

$857

High

$2.0k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +8 other terms	359	$836	$922	$425	46%	—	$346 – $5.4k
2	UnitedHealthcare fee schedule · outpatient · +9 other terms	356	$831	$793	$204	26%	—	$354 – $2.7k
3	Humana fee schedule · outpatient · +9 other terms	317	$759	$1.2k	$1.4k	115%	—	$378 – $6.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	218	$846	$1.0k	$520	51%	—	$0 – $4.2k
5	WellCare fee schedule · outpatient · +4 other terms	208	$846	$871	$124	14%	—	$698 – $1.4k
6	Devoted fee schedule · outpatient · +2 other terms	165	$863	$843	$69	8%	—	$723 – $983
7	Molina fee schedule · outpatient · +4 other terms	138	$1.1k	$1.2k	$456	39%	—	$436 – $2.3k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$774	$844	$59	7%	—	$723 – $992
9	Cigna fee schedule · outpatient · +6 other terms	102	$907	$916	$227	25%	—	$709 – $2.1k
10	Anthem fee schedule · outpatient · +6 other terms	81	$945	$1.1k	$928	84%	—	$411 – $5.4k
11	Kaiser fee schedule · outpatient · +4 other terms	64	$983	$1.4k	$900	66%	—	$807 – $5.9k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	44	$1.2k	$1.3k	$309	23%	—	$709 – $2.0k
13	Superior Healthplan fee schedule · outpatient	40	$906	$905	$4	0%	—	$846 – $906
14	Clover fee schedule · outpatient · +2 other terms	37	$723	$769	$80	10%	—	$709 – $964
15	Oscar fee schedule · outpatient · +3 other terms	36	$845	$913	$178	20%	—	$759 – $1.3k
16	Optum fee schedule · outpatient · +2 other terms	33	$926	$1.1k	$477	43%	—	$698 – $2.2k
17	Caresource fee schedule · outpatient · +4 other terms	28	$723	$776	$211	27%	—	$411 – $1.1k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$740	$698	$198	28%	—	$241 – $1.3k
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$1.0k	$929	$124	13%	—	$673 – $1.0k
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$868	$846	$42	5%	—	$738 – $868
21	Bcbs Tx fee schedule · outpatient	18	$846	$846	—	—	—	$846 – $846
22	Medicare fee schedule · outpatient · +1 other terms	18	$926	$930	$7	1%	—	$926 – $945
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$723	$744	$78	11%	—	$651 – $945
24	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$723	$838	$208	25%	—	$394 – $1.1k
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.2k	$1.2k	$508	42%	—	$695 – $2.0k

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