Below-knee prosthetic leg addition, adjustable alignment system

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 Endo Alignable System

Payers reporting HCPCS L5910

Payer pricing summary

Low

$115

Average

$625

Median

$597

High

$1.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	369	$492	$518	$171	33%	—	$111 – $1.7k
2	Aetna fee schedule · outpatient · +19 other terms	364	$497	$573	$247	43%	—	$180 – $3.0k
3	Humana fee schedule · outpatient · +19 other terms	321	$476	$789	$958	121%	—	$167 – $4.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	238	$580	$641	$360	56%	—	$0 – $4.7k
5	WellCare fee schedule · outpatient · +10 other terms	211	$580	$570	$106	19%	—	$111 – $946
6	Devoted fee schedule · outpatient · +5 other terms	165	$580	$556	$63	11%	—	$443 – $633
7	Molina fee schedule · outpatient · +9 other terms	144	$668	$742	$321	43%	—	$261 – $1.5k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$474	$557	$56	10%	—	$443 – $609
9	Cigna fee schedule · outpatient · +17 other terms	115	$580	$634	$263	42%	—	$181 – $1.4k
10	Anthem fee schedule · outpatient · +12 other terms	87	$580	$640	$512	80%	—	$231 – $3.3k
11	Kaiser fee schedule · outpatient · +11 other terms	69	$580	$732	$465	64%	—	$231 – $3.3k
12	Ambetter facility · fee schedule · outpatient · +7 other terms	46	$725	$811	$198	24%	—	$322 – $1.2k
13	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$621	$621	$3	0%	—	$580 – $621
14	Clover fee schedule · outpatient · +3 other terms	37	$476	$503	$62	12%	—	$443 – $621
15	Oscar fee schedule · outpatient · +7 other terms	36	$579	$587	$111	19%	—	$466 – $778
16	Optum fee schedule · outpatient · +4 other terms	33	$568	$715	$352	49%	—	$428 – $1.5k
17	Caresource fee schedule · outpatient · +5 other terms	32	$443	$442	$146	33%	—	$234 – $685
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$454	$426	$117	27%	—	$148 – $739
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$532	$519	$25	5%	—	$455 – $532
20	Bcbs Tx fee schedule · outpatient	18	$580	$580	—	—	—	$580 – $580
21	Medicare fee schedule · outpatient · +3 other terms	18	$568	$570	$4	1%	—	$568 – $580
22	Regence facility · fee schedule · outpatient · +6 other terms	17	$615	$571	$90	16%	—	$370 – $627
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$443	$514	$127	25%	—	$241 – $701
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$447	$469	$47	10%	—	$435 – $580
25	Highmark facility · fee schedule · outpatient · +5 other terms	14	$826	$793	$325	41%	—	$429 – $1.3k

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