Below-knee prosthetic socket insert, multi-durometer addition

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 below knee

Payers reporting HCPCS L5665

Payer pricing summary

Low

$217

Average

$782

Median

$707

High

$1.5k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +11 other terms	361	$657	$780	$417	53%	—	$300 – $5.4k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	358	$650	$655	$175	27%	—	$235 – $2.1k
3	Humana fee schedule · outpatient · +11 other terms	319	$649	$993	$1.1k	109%	—	$373 – $5.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$670	$934	$537	58%	—	$0 – $3.2k
5	WellCare fee schedule · outpatient · +4 other terms	208	$658	$701	$104	15%	—	$615 – $1.2k
6	Devoted fee schedule · outpatient · +3 other terms	165	$627	$663	$38	6%	—	$602 – $852
7	Molina fee schedule · outpatient · +5 other terms	140	$949	$928	$351	38%	—	$354 – $1.8k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$670	$668	$26	4%	—	$627 – $860
9	Cigna fee schedule · outpatient · +11 other terms	102	$658	$745	$221	30%	—	$602 – $2.1k
10	Anthem fee schedule · outpatient · +8 other terms	80	$627	$930	$958	103%	—	$415 – $5.3k
11	Kaiser fee schedule · outpatient · +8 other terms	64	$639	$1.1k	$752	70%	—	$602 – $4.6k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	45	$1.2k	$1.2k	$241	20%	—	$615 – $1.8k
13	Superior Healthplan fee schedule · outpatient	40	$703	$703	$3	0%	—	$657 – $703
14	Clover fee schedule · outpatient · +2 other terms	37	$627	$650	$45	7%	—	$615 – $836
15	Oscar fee schedule · outpatient · +4 other terms	36	$658	$810	$264	33%	—	$657 – $1.4k
16	Optum fee schedule · outpatient · +2 other terms	33	$627	$863	$365	42%	—	$602 – $1.7k
17	Caresource fee schedule · outpatient · +5 other terms	29	$627	$691	$230	33%	—	$343 – $1.1k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$729	$667	$190	28%	—	$238 – $1.4k
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$652	$631	$41	7%	—	$522 – $664
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$752	$733	$36	5%	—	$639 – $752
21	Bcbs Tx fee schedule · outpatient	18	$657	$657	—	—	—	$657 – $657
22	Medicare fee schedule · outpatient · +1 other terms	18	$602	$604	$5	1%	—	$602 – $615
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$627	$619	$15	2%	—	$564 – $627
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$713	$821	$203	25%	—	$388 – $1.1k
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.1k	$1.1k	$441	41%	—	$602 – $1.8k

Page 1 of 3 · 53 payers