Prosthetic hip extension assist addition for hip disarticulation

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

Mech hip extension assist

Payers reporting HCPCS L5855

Payer pricing summary

Low

$131

Average

$497

Median

$474

High

$970

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$427	$510	$270	53%	—	$202 – $3.4k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	358	$425	$431	$126	29%	—	$101 – $1.7k
3	Humana fee schedule · outpatient · +12 other terms	319	$421	$638	$677	106%	—	$198 – $3.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	220	$429	$583	$307	53%	—	$0 – $2.0k
5	WellCare fee schedule · outpatient · +5 other terms	208	$433	$448	$62	14%	—	$365 – $738
6	Devoted fee schedule · outpatient · +3 other terms	165	$421	$434	$26	6%	—	$421 – $514
7	Molina fee schedule · outpatient · +5 other terms	140	$616	$592	$230	39%	—	$101 – $1.1k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$433	$432	$25	6%	—	$393 – $519
9	Cigna fee schedule · outpatient · +11 other terms	102	$482	$502	$120	24%	—	$389 – $1.1k
10	Anthem fee schedule · outpatient · +6 other terms	80	$491	$572	$488	85%	—	$245 – $2.8k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$511	$819	$587	72%	—	$482 – $3.7k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	45	$681	$746	$194	26%	—	$274 – $1.1k
13	Superior Healthplan fee schedule · outpatient	40	$442	$442	$2	0%	—	$413 – $442
14	Clover fee schedule · outpatient · +3 other terms	37	$421	$410	$37	9%	—	$371 – $504
15	Oscar fee schedule · outpatient · +4 other terms	36	$442	$508	$154	30%	—	$412 – $857
16	Optum fee schedule · outpatient · +3 other terms	33	$482	$571	$213	37%	—	$365 – $1.1k
17	Caresource fee schedule · outpatient · +5 other terms	29	$421	$421	$107	25%	—	$230 – $584
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$387	$368	$116	32%	—	$126 – $840
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$521	$505	$32	6%	—	$420 – $531
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$505	$488	$37	8%	—	$386 – $505
21	Bcbs Tx fee schedule · outpatient	18	$413	$413	—	—	—	$413 – $413
22	Medicare fee schedule · outpatient · +3 other terms	18	$482	$483	$4	1%	—	$482 – $491
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$378	$391	$40	10%	—	$340 – $491
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$378	$438	$109	25%	—	$206 – $597
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$673	$662	$270	41%	—	$363 – $1.1k

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