Prosthetic leg socket insert with multiple firmness levels

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

Multi-durometer symes

Payers reporting HCPCS L5661

Payer pricing summary

Low

$239

Average

$944

Median

$836

High

$2.1k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	359	$759	$903	$457	51%	—	$357 – $5.2k
2	UnitedHealthcare fee schedule · outpatient · +16 other terms	356	$752	$784	$188	24%	—	$364 – $2.5k
3	Humana fee schedule · outpatient · +11 other terms	317	$745	$1.1k	$1.2k	106%	—	$419 – $5.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	219	$760	$1.1k	$599	57%	—	$0 – $3.8k
5	WellCare fee schedule · outpatient · +4 other terms	208	$767	$798	$128	16%	—	$730 – $1.5k
6	Devoted fee schedule · outpatient · +4 other terms	165	$745	$752	$28	4%	—	$716 – $1.0k
7	Molina fee schedule · outpatient · +6 other terms	138	$1.1k	$1.0k	$386	37%	—	$478 – $2.0k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$767	$766	$42	6%	—	$745 – $1.0k
9	Cigna fee schedule · outpatient · +12 other terms	102	$767	$884	$271	31%	—	$716 – $2.3k
10	Anthem fee schedule · outpatient · +10 other terms	80	$745	$1.1k	$1.1k	98%	—	$451 – $6.0k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$760	$1.3k	$883	70%	—	$716 – $5.5k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	45	$1.3k	$1.4k	$280	20%	—	$730 – $2.1k
13	Superior Healthplan fee schedule · outpatient	40	$782	$782	$4	0%	—	$730 – $782
14	Clover fee schedule · outpatient · +2 other terms	37	$747	$763	$43	6%	—	$733 – $993
15	Oscar fee schedule · outpatient · +4 other terms	36	$782	$909	$276	30%	—	$730 – $1.6k
16	Optum fee schedule · outpatient · +3 other terms	33	$745	$989	$386	39%	—	$716 – $1.9k
17	Caresource fee schedule · outpatient · +5 other terms	29	$745	$800	$256	32%	—	$407 – $1.2k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$820	$749	$200	27%	—	$267 – $1.4k
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$775	$750	$49	7%	—	$621 – $790
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$894	$880	$23	3%	—	$836 – $894
21	Bcbs Tx fee schedule · outpatient	18	$730	$730	—	—	—	$730 – $730
22	Medicare fee schedule · outpatient · +1 other terms	18	$716	$718	$6	1%	—	$716 – $730
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$802	$926	$229	25%	—	$437 – $1.3k
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$803	$775	$46	6%	—	$672 – $820
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.4k	$1.4k	$576	42%	—	$747 – $2.3k

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