Below-knee prosthetic socket insert

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

Bk - Silicone Socket Insert

Payers reporting HCPCS L5655

Payer pricing summary

Low

$112

Average

$451

Median

$391

High

$1.0k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +15 other terms	361	$368	$430	$233	54%	—	$165 – $2.8k
2	UnitedHealthcare fee schedule · outpatient · +16 other terms	359	$357	$368	$113	31%	—	$159 – $1.4k
3	Humana fee schedule · outpatient · +13 other terms	319	$357	$546	$608	111%	—	$182 – $2.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	218	$368	$494	$262	53%	—	$212 – $1.8k
5	WellCare fee schedule · outpatient · +6 other terms	208	$368	$393	$81	21%	—	$331 – $815
6	Devoted fee schedule · outpatient · +4 other terms	165	$344	$363	$22	6%	—	$312 – $441
7	Molina fee schedule · outpatient · +7 other terms	140	$545	$517	$197	38%	—	$204 – $984
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$368	$370	$16	4%	—	$325 – $446
9	Cigna fee schedule · outpatient · +14 other terms	105	$361	$428	$169	39%	—	$269 – $1.2k
10	Anthem fee schedule · outpatient · +10 other terms	81	$337	$493	$473	96%	—	$186 – $2.6k
11	Kaiser fee schedule · outpatient · +6 other terms	65	$331	$653	$517	79%	—	$312 – $3.1k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$615	$643	$141	22%	—	$253 – $860
13	Superior Healthplan fee schedule · outpatient	40	$394	$394	$2	0%	—	$368 – $394
14	Clover fee schedule · outpatient · +3 other terms	37	$410	$390	$25	6%	—	$344 – $433
15	Oscar fee schedule · outpatient · +6 other terms	36	$368	$430	$121	28%	—	$361 – $736
16	Optum fee schedule · outpatient · +4 other terms	33	$344	$464	$216	46%	—	$312 – $939
17	Caresource fee schedule · outpatient · +5 other terms	29	$344	$359	$109	30%	—	$188 – $539
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$356	$324	$83	25%	—	$116 – $541
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$338	$353	$25	7%	—	$325 – $407
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$413	$403	$20	5%	—	$351 – $413
21	Bcbs Tx fee schedule · outpatient	18	$368	$368	—	—	—	$368 – $368
22	Medicare fee schedule · outpatient · +3 other terms	18	$312	$313	$2	1%	—	$312 – $318
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$349	$402	$99	25%	—	$190 – $551
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$344	$356	$33	9%	—	$318 – $418
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$636	$628	$263	42%	—	$330 – $1.1k

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