Prosthetic socket insert for above-knee 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

Ak - Silicone Socket Insert

Payers reporting HCPCS L5658

Payer pricing summary

Low

$120

Average

$625

Median

$585

High

$1.2k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +14 other terms	361	$461	$573	$313	55%	—	$213 – $4.0k
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	358	$454	$482	$148	31%	—	$218 – $2.0k
3	Humana fee schedule · outpatient · +13 other terms	319	$465	$683	$709	104%	—	$292 – $3.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	219	$454	$637	$376	59%	—	$0 – $2.2k
5	WellCare fee schedule · outpatient · +5 other terms	208	$467	$488	$90	18%	—	$436 – $935
6	Devoted fee schedule · outpatient · +4 other terms	165	$445	$457	$25	5%	—	$445 – $605
7	Molina fee schedule · outpatient · +6 other terms	140	$655	$652	$251	38%	—	$253 – $1.2k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$476	$461	$27	6%	—	$445 – $611
9	Cigna fee schedule · outpatient · +11 other terms	102	$490	$562	$186	33%	—	$436 – $1.6k
10	Anthem fee schedule · outpatient · +8 other terms	80	$500	$711	$754	106%	—	$339 – $4.2k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$520	$898	$707	79%	—	$490 – $4.4k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$722	$847	$195	23%	—	$406 – $1.1k
13	Superior Healthplan fee schedule · outpatient	40	$467	$467	$2	0%	—	$436 – $467
14	Clover fee schedule · outpatient · +2 other terms	37	$470	$470	$21	4%	—	$445 – $594
15	Oscar fee schedule · outpatient · +6 other terms	36	$467	$534	$135	25%	—	$436 – $911
16	Optum fee schedule · outpatient · +3 other terms	33	$490	$614	$218	35%	—	$445 – $1.1k
17	Caresource fee schedule · outpatient · +5 other terms	29	$445	$515	$188	37%	—	$243 – $864
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$572	$520	$134	26%	—	$186 – $893
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$531	$535	$17	3%	—	$495 – $568
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$534	$524	$18	3%	—	$481 – $534
21	Bcbs Tx fee schedule · outpatient	18	$436	$436	—	—	—	$436 – $436
22	Medicare fee schedule · outpatient · +3 other terms	18	$490	$492	$4	1%	—	$490 – $500
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$559	$641	$159	25%	—	$304 – $883
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$472	$471	$18	4%	—	$431 – $500
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$828	$806	$334	41%	—	$453 – $1.3k

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