Replacement SACH foot for lower limb prosthesis

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

SACH foot, replacement

Payers reporting HCPCS L5971

Payer pricing summary

Low

$81

Average

$322

Median

$288

High

$700

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +11 other terms	359	$273	$318	$168	53%	—	$119 – $2.0k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	356	$273	$275	$73	26%	—	$122 – $996
3	Humana fee schedule · outpatient · +10 other terms	317	$267	$405	$451	111%	—	$140 – $2.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	218	$273	$361	$200	55%	—	$0 – $1.3k
5	WellCare fee schedule · outpatient · +4 other terms	208	$284	$287	$41	14%	—	$244 – $485
6	Devoted fee schedule · outpatient · +4 other terms	165	$273	$273	$14	5%	—	$249 – $338
7	Molina fee schedule · outpatient · +5 other terms	138	$410	$386	$145	38%	—	$186 – $730
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$278	$276	$11	4%	—	$249 – $341
9	Cigna fee schedule · outpatient · +9 other terms	102	$273	$310	$90	29%	—	$244 – $784
10	Anthem fee schedule · outpatient · +8 other terms	80	$277	$374	$352	94%	—	$175 – $2.0k
11	Kaiser fee schedule · outpatient · +3 other terms	64	$284	$482	$356	74%	—	$267 – $2.2k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	44	$444	$480	$95	20%	—	$244 – $699
13	Superior Healthplan fee schedule · outpatient	40	$293	$292	$1	0%	—	$273 – $293
14	Clover fee schedule · outpatient · +2 other terms	37	$249	$261	$21	8%	—	$244 – $332
15	Oscar fee schedule · outpatient · +3 other terms	36	$273	$317	$87	28%	—	$261 – $532
16	Optum fee schedule · outpatient · +3 other terms	33	$268	$356	$153	43%	—	$249 – $697
17	Caresource fee schedule · outpatient · +4 other terms	28	$249	$279	$76	27%	—	$175 – $413
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$274	$251	$65	26%	—	$89 – $428
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$289	$286	$11	4%	—	$250 – $295
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$298	$293	$9	3%	—	$274 – $298
21	Bcbs Tx fee schedule · outpatient	18	$273	$273	—	—	—	$273 – $273
22	Medicare fee schedule · outpatient · +1 other terms	18	$267	$268	$2	1%	—	$267 – $273
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$267	$309	$76	25%	—	$146 – $423
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$269	$260	$14	5%	—	$224 – $273
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$436	$449	$187	42%	—	$249 – $760

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