Knee-shin prosthetic with safety knee

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

Endo knee-shin frct swg & st

Payers reporting HCPCS L5812

Payer pricing summary

Low

$240

Average

$885

Median

$797

High

$1.6k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +15 other terms	361	$738	$876	$484	55%	—	$332 – $6.5k
2	UnitedHealthcare fee schedule · outpatient · +16 other terms	358	$723	$736	$199	27%	—	$278 – $2.6k
3	Humana fee schedule · outpatient · +13 other terms	319	$723	$1.1k	$1.2k	108%	—	$380 – $5.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	220	$738	$1.0k	$559	56%	—	$0 – $3.6k
5	WellCare fee schedule · outpatient · +6 other terms	208	$758	$777	$115	15%	—	$679 – $1.4k
6	Devoted fee schedule · outpatient · +4 other terms	165	$738	$744	$42	6%	—	$692 – $941
7	Molina fee schedule · outpatient · +7 other terms	140	$1.1k	$1.0k	$397	39%	—	$278 – $1.9k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$741	$747	$38	5%	—	$692 – $950
9	Cigna fee schedule · outpatient · +13 other terms	104	$766	$846	$228	27%	—	$445 – $2.1k
10	Anthem fee schedule · outpatient · +10 other terms	80	$835	$1.1k	$914	86%	—	$389 – $5.5k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$868	$1.3k	$892	67%	—	$773 – $5.7k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$1.3k	$1.3k	$287	22%	—	$528 – $1.9k
13	Superior Healthplan fee schedule · outpatient	40	$775	$774	$4	0%	—	$723 – $775
14	Clover fee schedule · outpatient · +3 other terms	37	$692	$717	$49	7%	—	$679 – $923
15	Oscar fee schedule · outpatient · +6 other terms	36	$727	$876	$276	31%	—	$723 – $1.6k
16	Optum fee schedule · outpatient · +4 other terms	33	$818	$983	$382	39%	—	$692 – $1.8k
17	Caresource fee schedule · outpatient · +5 other terms	29	$692	$732	$233	32%	—	$378 – $1.1k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$744	$691	$184	27%	—	$242 – $1.2k
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$885	$836	$86	10%	—	$644 – $902
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$830	$810	$40	5%	—	$706 – $830
21	Bcbs Tx fee schedule · outpatient	18	$723	$723	—	—	—	$723 – $723
22	Medicare fee schedule · outpatient · +3 other terms	18	$818	$821	$6	1%	—	$818 – $835
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$692	$703	$52	7%	—	$623 – $835
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$727	$841	$208	25%	—	$396 – $1.1k
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$1.2k	$1.2k	$493	41%	—	$665 – $2.0k

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