Expandable socket addition for knee disarticulation prosthesis

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 disart expand wall sock

Payers reporting HCPCS L5653

Payer pricing summary

Low

$207

Average

$943

Median

$862

High

$2.0k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	359	$736	$909	$469	52%	—	$341 – $5.9k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	356	$736	$762	$228	30%	—	$348 – $2.9k
3	Humana fee schedule · outpatient · +12 other terms	317	$737	$1.1k	$1.2k	105%	—	$435 – $5.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$729	$1.0k	$575	56%	—	$0 – $3.5k
5	WellCare fee schedule · outpatient · +5 other terms	208	$751	$787	$125	16%	—	$699 – $1.4k
6	Devoted fee schedule · outpatient · +3 other terms	165	$729	$756	$68	9%	—	$713 – $969
7	Molina fee schedule · outpatient · +5 other terms	138	$1.1k	$1.0k	$402	38%	—	$465 – $1.9k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$744	$754	$60	8%	—	$713 – $978
9	Cigna fee schedule · outpatient · +11 other terms	102	$841	$900	$260	29%	—	$699 – $2.4k
10	Anthem fee schedule · outpatient · +6 other terms	80	$931	$1.1k	$1.1k	97%	—	$439 – $6.2k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$969	$1.4k	$998	69%	—	$876 – $6.4k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$1.2k	$1.3k	$293	22%	—	$699 – $1.8k
13	Superior Healthplan fee schedule · outpatient	40	$766	$766	$4	0%	—	$715 – $766
14	Clover fee schedule · outpatient · +3 other terms	37	$713	$732	$44	6%	—	$699 – $950
15	Oscar fee schedule · outpatient · +4 other terms	36	$748	$868	$228	26%	—	$715 – $1.4k
16	Optum fee schedule · outpatient · +3 other terms	33	$913	$1.0k	$353	35%	—	$713 – $1.8k
17	Caresource fee schedule · outpatient · +5 other terms	29	$713	$789	$280	35%	—	$389 – $1.3k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$852	$789	$207	26%	—	$278 – $1.4k
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$988	$937	$91	10%	—	$730 – $1.0k
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$855	$834	$41	5%	—	$727 – $855
21	Bcbs Tx fee schedule · outpatient	18	$715	$715	—	—	—	$715 – $715
22	Medicare fee schedule · outpatient · +3 other terms	18	$913	$916	$7	1%	—	$913 – $931
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$833	$958	$237	25%	—	$453 – $1.3k
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$713	$734	$79	11%	—	$641 – $931
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.2k	$1.2k	$500	41%	—	$685 – $2.0k

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