Prosthetic socket insert for below-knee amputation

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

Le Socket Insert, Symes Type

Payers reporting HCPCS L5654

Payer pricing summary

Low

$129

Average

$564

Median

$488

High

$1.2k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$473	$519	$262	50%	—	$195 – $3.2k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	358	$430	$440	$122	28%	—	$199 – $1.6k
3	Humana fee schedule · outpatient · +12 other terms	319	$422	$678	$784	116%	—	$252 – $3.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	219	$473	$602	$336	56%	—	$0 – $2.3k
5	WellCare fee schedule · outpatient · +6 other terms	208	$473	$487	$75	15%	—	$398 – $839
6	Devoted fee schedule · outpatient · +3 other terms	165	$408	$458	$38	8%	—	$392 – $552
7	Molina fee schedule · outpatient · +8 other terms	140	$690	$651	$253	39%	—	$212 – $1.3k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$434	$464	$31	7%	—	$406 – $557
9	Cigna fee schedule · outpatient · +12 other terms	104	$441	$494	$155	31%	—	$277 – $1.4k
10	Anthem fee schedule · outpatient · +8 other terms	80	$408	$615	$652	106%	—	$303 – $3.6k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$416	$749	$570	76%	—	$392 – $3.5k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$708	$782	$169	22%	—	$350 – $1.1k
13	Superior Healthplan fee schedule · outpatient	40	$507	$507	$2	0%	—	$473 – $507
14	Clover fee schedule · outpatient · +3 other terms	37	$422	$442	$38	9%	—	$406 – $541
15	Oscar fee schedule · outpatient · +4 other terms	36	$473	$534	$135	25%	—	$426 – $848
16	Optum fee schedule · outpatient · +3 other terms	33	$406	$586	$283	48%	—	$392 – $1.2k
17	Caresource fee schedule · outpatient · +5 other terms	29	$406	$459	$157	34%	—	$222 – $746
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$494	$446	$114	25%	—	$161 – $723
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$425	$428	$14	3%	—	$395 – $454
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$487	$475	$23	5%	—	$414 – $487
21	Bcbs Tx fee schedule · outpatient	18	$473	$473	—	—	—	$473 – $473
22	Medicare fee schedule · outpatient · +3 other terms	18	$392	$394	$3	1%	—	$392 – $400
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$483	$555	$138	25%	—	$263 – $763
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$406	$407	$12	3%	—	$387 – $430
25	Highmark facility · fee schedule · outpatient · +5 other terms	14	$744	$711	$293	41%	—	$390 – $1.2k

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