Below-knee prosthetic socket cushion 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

Bk molded distal cushion

Payers reporting HCPCS L5668

Payer pricing summary

Low

$43

Average

$214

Median

$169

High

$822

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	370	$140	$161	$116	72%	—	$60 – $1.3k
2	Aetna fee schedule · outpatient · +18 other terms	366	$142	$164	$80	49%	—	$66 – $961
3	Humana fee schedule · outpatient · +18 other terms	324	$138	$225	$267	119%	—	$69 – $1.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	229	$162	$200	$119	59%	—	$0 – $1.1k
5	WellCare fee schedule · outpatient · +11 other terms	213	$145	$161	$23	14%	—	$126 – $251
6	Devoted fee schedule · outpatient · +4 other terms	165	$138	$154	$17	11%	—	$119 – $176
7	Molina fee schedule · outpatient · +10 other terms	144	$200	$211	$87	41%	—	$66 – $432
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$148	$156	$14	9%	—	$124 – $170
9	Cigna fee schedule · outpatient · +18 other terms	111	$145	$233	$231	99%	—	$83 – $1.1k
10	Anthem fee schedule · outpatient · +16 other terms	84	$126	$204	$193	94%	—	$69 – $1.1k
11	Kaiser fee schedule · outpatient · +16 other terms	73	$126	$226	$180	80%	—	$84 – $1.0k
12	Ambetter facility · fee schedule · outpatient · +7 other terms	46	$234	$251	$62	25%	—	$102 – $346
13	Clover fee schedule · outpatient · +3 other terms	42	$143	$142	$17	12%	—	$126 – $173
14	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$173	$173	$1	0%	—	$162 – $173
15	Oscar fee schedule · outpatient · +7 other terms	36	$162	$178	$43	24%	—	$145 – $280
16	Caresource fee schedule · outpatient · +9 other terms	34	$138	$143	$42	30%	—	$69 – $217
17	Optum fee schedule · outpatient · +5 other terms	33	$138	$192	$102	53%	—	$119 – $412
18	Medicare fee schedule · outpatient · +3 other terms	23	$119	$122	$7	5%	—	$119 – $136
19	Medica facility · fee schedule · outpatient · +7 other terms	22	$144	$130	$33	25%	—	$47 – $208
20	Regence facility · fee schedule · outpatient · +5 other terms	19	$129	$128	$4	3%	—	$114 – $132
21	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$166	$160	$12	8%	—	$127 – $166
22	Bcbs Tx fee schedule · outpatient	18	$162	$162	—	—	—	$162 – $162
23	Tricare facility · fee schedule · outpatient · +3 other terms	16	$124	$125	$4	3%	—	$116 – $136
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$141	$162	$40	25%	—	$77 – $222
25	Highmark facility · fee schedule · outpatient · +7 other terms	14	$223	$216	$90	41%	—	$119 – $354

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