Below-knee prosthetic socket cushion 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 cushion socket

Payers reporting HCPCS L5646

Payer pricing summary

Low

$174

Average

$909

Median

$836

High

$2.0k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +10 other terms	359	$768	$867	$375	43%	—	$321 – $4.8k
2	UnitedHealthcare fee schedule · outpatient · +12 other terms	356	$754	$736	$206	28%	—	$273 – $2.4k
3	Humana fee schedule · outpatient · +9 other terms	317	$745	$1.2k	$1.4k	120%	—	$397 – $6.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	218	$854	$967	$515	53%	—	$0 – $4.2k
5	WellCare fee schedule · outpatient · +4 other terms	208	$854	$854	$135	16%	—	$658 – $1.4k
6	Devoted fee schedule · outpatient · +3 other terms	165	$852	$823	$86	10%	—	$671 – $932
7	Molina fee schedule · outpatient · +4 other terms	138	$1.1k	$1.1k	$460	40%	—	$438 – $2.3k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$718	$826	$75	9%	—	$671 – $921
9	Cigna fee schedule · outpatient · +7 other terms	102	$852	$853	$235	28%	—	$658 – $2.2k
10	Anthem fee schedule · outpatient · +6 other terms	81	$852	$1.1k	$997	94%	—	$413 – $5.7k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$886	$1.2k	$798	65%	—	$718 – $5.3k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$1.1k	$1.3k	$288	23%	—	$658 – $1.9k
13	Superior Healthplan fee schedule · outpatient	40	$914	$914	$4	0%	—	$854 – $914
14	Clover fee schedule · outpatient · +2 other terms	37	$698	$745	$90	12%	—	$671 – $914
15	Oscar fee schedule · outpatient · +4 other terms	36	$853	$882	$161	18%	—	$704 – $1.1k
16	Optum fee schedule · outpatient · +2 other terms	33	$835	$1.1k	$511	48%	—	$658 – $2.2k
17	Caresource fee schedule · outpatient · +5 other terms	28	$671	$759	$239	31%	—	$413 – $1.2k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$778	$717	$180	25%	—	$253 – $1.1k
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$904	$835	$116	14%	—	$598 – $921
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$805	$785	$39	5%	—	$684 – $805
21	Bcbs Tx fee schedule · outpatient	18	$854	$854	—	—	—	$854 – $854
22	Medicare fee schedule · outpatient · +1 other terms	18	$835	$838	$6	1%	—	$835 – $852
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$671	$696	$62	9%	—	$639 – $852
24	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$760	$876	$217	25%	—	$414 – $1.2k
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.2k	$1.2k	$480	41%	—	$644 – $1.9k

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