Below-knee prosthesis cuff suspension add-on

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

Below knee cuff suspension

Payers reporting HCPCS L5666

Payer pricing summary

Low

$30

Average

$121

Median

$108

High

$305

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +15 other terms	365	$93	$98	$34	35%	—	$35 – $382
2	Aetna fee schedule · outpatient · +14 other terms	361	$94	$111	$55	50%	—	$41 – $683
3	Humana fee schedule · outpatient · +15 other terms	319	$92	$154	$187	122%	—	$48 – $879
4	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	223	$112	$132	$73	55%	—	$0 – $551
5	WellCare fee schedule · outpatient · +5 other terms	208	$95	$110	$20	18%	—	$84 – $188
6	Devoted fee schedule · outpatient · +3 other terms	165	$86	$104	$14	13%	—	$82 – $122
7	Molina fee schedule · outpatient · +6 other terms	143	$127	$147	$60	41%	—	$35 – $299
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$92	$106	$12	11%	—	$86 – $118
9	Cigna fee schedule · outpatient · +13 other terms	109	$93	$121	$59	49%	—	$82 – $329
10	Anthem fee schedule · outpatient · +9 other terms	84	$86	$125	$119	95%	—	$48 – $708
11	Kaiser fee schedule · outpatient · +7 other terms	68	$87	$145	$101	69%	—	$65 – $638
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$162	$166	$33	20%	—	$68 – $221
13	Superior Healthplan fee schedule · outpatient	40	$120	$120	$1	0%	—	$112 – $120
14	Clover fee schedule · outpatient · +3 other terms	37	$94	$98	$12	12%	—	$86 – $120
15	Oscar fee schedule · outpatient · +6 other terms	36	$112	$120	$32	27%	—	$90 – $194
16	Optum fee schedule · outpatient · +3 other terms	33	$86	$132	$72	54%	—	$82 – $286
17	Caresource fee schedule · outpatient · +5 other terms	29	$86	$92	$31	34%	—	$47 – $146
18	Medica facility · fee schedule · outpatient · +7 other terms	22	$97	$88	$23	26%	—	$31 – $152
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$89	$87	$5	6%	—	$72 – $91
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$103	$101	$3	3%	—	$95 – $103
21	Bcbs Tx fee schedule · outpatient	18	$112	$112	—	—	—	$112 – $112
22	Medicare fee schedule · outpatient · +3 other terms	18	$82	$83	$1	1%	—	$82 – $84
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$94	$109	$27	25%	—	$51 – $149
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$93	$91	$4	5%	—	$84 – $96
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$166	$161	$66	41%	—	$89 – $264

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