Prosthetic leg socket liner, silicone gel

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

Locking Liner

Payers reporting HCPCS L5673

Payer pricing summary

Low

$249

Average

$1.2k

Median

$1.1k

High

$3.1k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +19 other terms	371	$901	$974	$396	41%	—	$224 – $3.1k
2	Aetna fee schedule · outpatient · +18 other terms	364	$905	$1.1k	$523	50%	—	$364 – $5.9k
3	Humana fee schedule · outpatient · +18 other terms	321	$894	$1.3k	$1.4k	108%	—	$337 – $6.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	226	$897	$1.2k	$690	57%	—	$0 – $4.3k
5	WellCare fee schedule · outpatient · +10 other terms	211	$923	$938	$138	15%	—	$224 – $1.6k
6	Devoted fee schedule · outpatient · +5 other terms	165	$897	$899	$24	3%	—	$871 – $1.1k
7	Molina fee schedule · outpatient · +11 other terms	148	$1.3k	$1.2k	$467	38%	—	$567 – $2.3k
8	Cigna fee schedule · outpatient · +16 other terms	117	$914	$1.2k	$598	49%	—	$365 – $3.2k
9	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$915	$909	$30	3%	—	$871 – $1.1k
10	Anthem fee schedule · outpatient · +15 other terms	92	$928	$1.4k	$1.1k	83%	—	$503 – $7.3k
11	Kaiser fee schedule · outpatient · +12 other terms	74	$946	$1.4k	$953	67%	—	$503 – $6.4k
12	Ambetter facility · fee schedule · outpatient · +9 other terms	45	$1.4k	$1.6k	$382	24%	—	$702 – $2.2k
13	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$942	$941	$5	0%	—	$879 – $942
14	Clover fee schedule · outpatient · +3 other terms	37	$871	$871	$68	8%	—	$802 – $1.1k
15	Oscar fee schedule · outpatient · +6 other terms	36	$914	$1.1k	$260	25%	—	$879 – $1.6k
16	Optum fee schedule · outpatient · +5 other terms	33	$891	$1.2k	$471	40%	—	$860 – $2.2k
17	Caresource fee schedule · outpatient · +7 other terms	32	$871	$917	$314	34%	—	$473 – $1.5k
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$990	$903	$231	26%	—	$323 – $1.5k
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$1.0k	$1.0k	$53	5%	—	$877 – $1.0k
20	Bcbs Tx fee schedule · outpatient	18	$879	$879	—	—	—	$879 – $879
21	Medicare fee schedule · outpatient · +3 other terms	18	$891	$894	$7	1%	—	$891 – $909
22	Regence facility · fee schedule · outpatient · +6 other terms	17	$965	$931	$77	8%	—	$731 – $983
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$968	$1.1k	$276	25%	—	$527 – $1.5k
24	MultiPlan fee schedule · outpatient · +13 other terms	15	$2.6k	$2.5k	$894	35%	—	$879 – $3.8k
25	Tricare facility · fee schedule · outpatient · +3 other terms	15	$860	$847	$40	5%	—	$736 – $909

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