Prosthetic socket insert for knee disarticulation

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 - Silicone Socket Insert

Payers reporting HCPCS L5656

Payer pricing summary

Low

$157

Average

$624

Median

$580

High

$1.3k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +14 other terms	361	$473	$594	$340	57%	—	$221 – $4.0k
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	358	$468	$498	$150	30%	—	$222 – $2.0k
3	Humana fee schedule · outpatient · +13 other terms	319	$465	$713	$749	105%	—	$277 – $3.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$471	$676	$394	58%	—	$0 – $2.3k
5	WellCare fee schedule · outpatient · +6 other terms	208	$483	$510	$123	24%	—	$450 – $1.2k
6	Devoted fee schedule · outpatient · +4 other terms	165	$465	$469	$16	3%	—	$450 – $617
7	Molina fee schedule · outpatient · +6 other terms	139	$685	$673	$254	38%	—	$253 – $1.2k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$475	$476	$22	5%	—	$462 – $623
9	Cigna fee schedule · outpatient · +12 other terms	102	$477	$566	$194	34%	—	$450 – $1.6k
10	Anthem fee schedule · outpatient · +8 other terms	80	$469	$681	$712	105%	—	$345 – $4.0k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$478	$924	$740	80%	—	$450 – $4.4k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$860	$894	$171	19%	—	$450 – $1.2k
13	Superior Healthplan fee schedule · outpatient	40	$489	$488	$2	0%	—	$456 – $489
14	Clover fee schedule · outpatient · +3 other terms	37	$582	$531	$51	10%	—	$462 – $606
15	Oscar fee schedule · outpatient · +4 other terms	36	$485	$573	$186	32%	—	$456 – $1.0k
16	Optum fee schedule · outpatient · +4 other terms	33	$462	$617	$242	39%	—	$450 – $1.2k
17	Caresource fee schedule · outpatient · +5 other terms	29	$462	$515	$167	32%	—	$252 – $818
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$542	$492	$128	26%	—	$177 – $857
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$487	$507	$33	7%	—	$469 – $580
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$554	$543	$20	4%	—	$494 – $554
21	Bcbs Tx fee schedule · outpatient	18	$456	$456	—	—	—	$456 – $456
22	Medicare fee schedule · outpatient · +3 other terms	18	$450	$452	$3	1%	—	$450 – $459
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$530	$609	$151	25%	—	$288 – $837
24	Highmark facility · fee schedule · outpatient · +4 other terms	14	$896	$891	$375	42%	—	$465 – $1.6k
25	Tricare facility · fee schedule · outpatient · +2 other terms	14	$484	$504	$50	10%	—	$453 – $594

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