Above-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 ak ultra-light m

Payers reporting HCPCS L5790

Payer pricing summary

Low

$281

Average

$1.2k

Median

$1.1k

High

$2.6k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	359	$918	$1.1k	$536	48%	—	$422 – $6.1k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	356	$909	$957	$259	27%	—	$320 – $3.0k
3	Humana fee schedule · outpatient · +12 other terms	317	$907	$1.6k	$1.9k	123%	—	$480 – $9.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	218	$1.2k	$1.3k	$688	53%	—	$0 – $5.7k
5	WellCare fee schedule · outpatient · +4 other terms	208	$941	$1.1k	$181	16%	—	$863 – $1.7k
6	Devoted fee schedule · outpatient · +3 other terms	165	$880	$1.1k	$143	13%	—	$846 – $1.3k
7	Molina fee schedule · outpatient · +5 other terms	138	$1.4k	$1.5k	$617	41%	—	$529 – $3.1k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$942	$1.1k	$124	11%	—	$880 – $1.2k
9	Cigna fee schedule · outpatient · +10 other terms	102	$924	$1.1k	$304	28%	—	$846 – $2.7k
10	Anthem fee schedule · outpatient · +6 other terms	80	$880	$1.3k	$1.2k	97%	—	$499 – $6.9k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$898	$1.5k	$1.1k	72%	—	$846 – $6.7k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	45	$1.5k	$1.7k	$348	21%	—	$863 – $2.5k
13	Superior Healthplan fee schedule · outpatient	40	$1.2k	$1.2k	$6	0%	—	$1.2k – $1.2k
14	Clover fee schedule · outpatient · +2 other terms	37	$880	$962	$144	15%	—	$863 – $1.2k
15	Oscar fee schedule · outpatient · +4 other terms	36	$1.2k	$1.2k	$291	24%	—	$924 – $1.8k
16	Optum fee schedule · outpatient · +2 other terms	33	$880	$1.3k	$741	55%	—	$846 – $2.9k
17	Caresource fee schedule · outpatient · +5 other terms	29	$880	$930	$292	31%	—	$481 – $1.4k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$939	$858	$223	26%	—	$306 – $1.5k
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$915	$895	$46	5%	—	$762 – $933
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$1.1k	$1.0k	$51	5%	—	$898 – $1.1k
21	Bcbs Tx fee schedule · outpatient	18	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
22	Medicare fee schedule · outpatient · +3 other terms	18	$846	$849	$7	1%	—	$846 – $863
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$880	$869	$21	2%	—	$792 – $880
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$918	$1.1k	$262	25%	—	$500 – $1.5k
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.5k	$1.5k	$628	41%	—	$846 – $2.5k

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