Manual lock add-on for above-knee prosthetic

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

Ak Endo Hip Disartcltn Manual

Payers reporting HCPCS L5925

Payer pricing summary

Low

$139

Average

$586

Median

$544

High

$1.2k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	361	$548	$596	$289	48%	—	$263 – $3.6k
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	358	$551	$512	$141	28%	—	$101 – $1.8k
3	Humana fee schedule · outpatient · +11 other terms	319	$543	$801	$885	110%	—	$215 – $4.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$559	$685	$318	46%	—	$0 – $2.6k
5	WellCare fee schedule · outpatient · +6 other terms	208	$565	$564	$60	11%	—	$397 – $803
6	Devoted fee schedule · outpatient · +4 other terms	165	$548	$551	$10	2%	—	$527 – $587
7	Molina fee schedule · outpatient · +7 other terms	140	$700	$727	$295	41%	—	$101 – $1.4k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$559	$550	$33	6%	—	$428 – $592
9	Cigna fee schedule · outpatient · +12 other terms	104	$565	$584	$121	21%	—	$265 – $1.2k
10	Anthem fee schedule · outpatient · +10 other terms	80	$538	$632	$528	84%	—	$267 – $3.1k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$559	$876	$618	71%	—	$527 – $3.9k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$740	$889	$300	34%	—	$298 – $1.4k
13	Superior Healthplan fee schedule · outpatient	40	$576	$576	$3	0%	—	$538 – $576
14	Clover fee schedule · outpatient · +3 other terms	37	$548	$496	$83	17%	—	$403 – $576
15	Oscar fee schedule · outpatient · +6 other terms	36	$576	$625	$140	22%	—	$453 – $925
16	Optum fee schedule · outpatient · +4 other terms	33	$548	$698	$305	44%	—	$397 – $1.4k
17	Caresource fee schedule · outpatient · +5 other terms	29	$548	$510	$119	23%	—	$267 – $636
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$421	$401	$126	31%	—	$137 – $907
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$570	$548	$42	8%	—	$445 – $581
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$658	$626	$74	12%	—	$420 – $658
21	Bcbs Tx fee schedule · outpatient	18	$538	$538	—	—	—	$538 – $538
22	Medicare fee schedule · outpatient · +1 other terms	18	$527	$529	$4	1%	—	$527 – $538
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$411	$477	$118	25%	—	$224 – $650
24	Highmark facility · fee schedule · outpatient · +4 other terms	14	$711	$707	$289	41%	—	$395 – $1.2k
25	Tricare facility · fee schedule · outpatient · +2 other terms	14	$411	$434	$55	13%	—	$370 – $538

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