Below-knee prosthetic leg addition, ultra-light material

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

Exoskeletal bk ultralt mater

Payers reporting HCPCS L5785

Payer pricing summary

Low

$175

Average

$814

Median

$754

High

$1.6k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +15 other terms	361	$715	$823	$395	48%	—	$377 – $5.1k
2	UnitedHealthcare fee schedule · outpatient · +16 other terms	358	$723	$724	$196	27%	—	$214 – $2.5k
3	Humana fee schedule · outpatient · +14 other terms	319	$721	$1.1k	$1.1k	106%	—	$332 – $5.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$788	$923	$440	48%	—	$0 – $3.4k
5	WellCare fee schedule · outpatient · +5 other terms	208	$730	$762	$104	14%	—	$614 – $1.2k
6	Devoted fee schedule · outpatient · +5 other terms	165	$709	$722	$53	7%	—	$611 – $865
7	Molina fee schedule · outpatient · +6 other terms	140	$994	$967	$372	38%	—	$257 – $1.9k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$723	$734	$63	9%	—	$636 – $873
9	Cigna fee schedule · outpatient · +13 other terms	104	$812	$809	$209	26%	—	$409 – $1.9k
10	Anthem fee schedule · outpatient · +8 other terms	80	$636	$908	$835	92%	—	$358 – $4.8k
11	Kaiser fee schedule · outpatient · +8 other terms	64	$649	$1.2k	$911	78%	—	$611 – $5.6k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$1.0k	$1.3k	$411	31%	—	$772 – $2.0k
13	Superior Healthplan fee schedule · outpatient	40	$745	$744	$4	0%	—	$695 – $745
14	Clover fee schedule · outpatient · +3 other terms	37	$745	$717	$88	12%	—	$624 – $848
15	Oscar fee schedule · outpatient · +4 other terms	36	$827	$833	$168	20%	—	$695 – $1.3k
16	Optum fee schedule · outpatient · +4 other terms	33	$788	$909	$391	43%	—	$611 – $1.8k
17	Caresource fee schedule · outpatient · +5 other terms	29	$788	$747	$192	26%	—	$358 – $983
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$650	$596	$156	26%	—	$212 – $1.1k
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$662	$672	$25	4%	—	$633 – $727
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$945	$905	$92	10%	—	$649 – $945
21	Bcbs Tx fee schedule · outpatient	18	$695	$695	—	—	—	$695 – $695
22	Medicare fee schedule · outpatient · +3 other terms	18	$611	$613	$5	1%	—	$611 – $624
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$636	$737	$183	25%	—	$346 – $1.0k
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$636	$638	$39	6%	—	$572 – $772
25	Highmark facility · fee schedule · outpatient · +5 other terms	14	$1.1k	$1.1k	$449	40%	—	$611 – $1.8k

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