Lower leg prosthesis knee joint add-on, pair

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 knee joints single axis p

Payers reporting HCPCS L5676

Payer pricing summary

Low

$154

Average

$584

Median

$549

High

$1.3k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +14 other terms	361	$538	$582	$294	50%	—	$213 – $3.5k
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	358	$527	$487	$141	29%	—	$188 – $1.7k
3	Humana fee schedule · outpatient · +13 other terms	319	$527	$787	$945	120%	—	$232 – $4.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$566	$665	$354	53%	—	$0 – $2.8k
5	WellCare fee schedule · outpatient · +5 other terms	208	$565	$562	$84	15%	—	$428 – $866
6	Devoted fee schedule · outpatient · +4 other terms	165	$538	$543	$57	11%	—	$444 – $618
7	Molina fee schedule · outpatient · +6 other terms	140	$719	$757	$306	40%	—	$260 – $1.5k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$475	$546	$50	9%	—	$444 – $609
9	Cigna fee schedule · outpatient · +13 other terms	104	$538	$559	$147	26%	—	$285 – $1.3k
10	Anthem fee schedule · outpatient · +8 other terms	80	$538	$661	$575	87%	—	$246 – $3.3k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$560	$874	$599	69%	—	$517 – $3.8k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	47	$799	$833	$187	22%	—	$322 – $1.2k
13	Superior Healthplan fee schedule · outpatient	40	$607	$606	$3	0%	—	$566 – $607
14	Clover fee schedule · outpatient · +3 other terms	37	$444	$482	$67	14%	—	$435 – $607
15	Oscar fee schedule · outpatient · +4 other terms	36	$566	$609	$167	27%	—	$466 – $1.0k
16	Optum fee schedule · outpatient · +4 other terms	33	$527	$694	$345	50%	—	$428 – $1.4k
17	Caresource fee schedule · outpatient · +5 other terms	29	$444	$461	$139	30%	—	$242 – $686
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$454	$423	$113	27%	—	$148 – $739
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$571	$544	$48	9%	—	$431 – $582
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$532	$519	$25	5%	—	$453 – $532
21	Bcbs Tx fee schedule · outpatient	18	$566	$566	—	—	—	$566 – $566
22	Medicare fee schedule · outpatient · +3 other terms	18	$527	$529	$4	1%	—	$527 – $538
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$444	$514	$127	25%	—	$242 – $701
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$444	$452	$36	8%	—	$399 – $538
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$767	$772	$317	41%	—	$426 – $1.3k

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