Single-axis ankle foot 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

Foot single axis ankle/foot

Payers reporting HCPCS L5974

Payer pricing summary

Low

$99

Average

$387

Median

$359

High

$721

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +15 other terms	361	$314	$377	$233	62%	—	$137 – $2.7k
2	UnitedHealthcare fee schedule · outpatient · +17 other terms	358	$297	$322	$93	29%	—	$111 – $1.3k
3	Humana fee schedule · outpatient · +13 other terms	319	$297	$471	$526	112%	—	$149 – $2.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	219	$318	$423	$240	57%	—	$0 – $1.7k
5	WellCare fee schedule · outpatient · +6 other terms	208	$318	$332	$48	15%	—	$275 – $557
6	Devoted fee schedule · outpatient · +4 other terms	165	$289	$313	$20	6%	—	$278 – $388
7	Molina fee schedule · outpatient · +6 other terms	140	$446	$451	$171	38%	—	$111 – $850
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$305	$321	$21	6%	—	$285 – $392
9	Cigna fee schedule · outpatient · +13 other terms	102	$317	$367	$122	33%	—	$278 – $836
10	Anthem fee schedule · outpatient · +10 other terms	80	$289	$414	$373	90%	—	$198 – $2.1k
11	Kaiser fee schedule · outpatient · +8 other terms	64	$295	$578	$467	81%	—	$278 – $2.8k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$528	$557	$100	18%	—	$280 – $784
13	Superior Healthplan fee schedule · outpatient	40	$341	$341	$2	0%	—	$318 – $341
14	Clover fee schedule · outpatient · +3 other terms	37	$285	$300	$26	9%	—	$280 – $380
15	Oscar fee schedule · outpatient · +4 other terms	36	$318	$370	$111	30%	—	$300 – $647
16	Optum fee schedule · outpatient · +4 other terms	33	$285	$407	$183	45%	—	$275 – $811
17	Caresource fee schedule · outpatient · +5 other terms	28	$285	$311	$76	24%	—	$198 – $441
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$292	$269	$74	27%	—	$95 – $518
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$301	$315	$23	7%	—	$289 – $364
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$342	$343	$12	3%	—	$325 – $371
21	Bcbs Tx fee schedule · outpatient	18	$318	$318	—	—	—	$318 – $318
22	Medicare fee schedule · outpatient · +3 other terms	18	$278	$279	$2	1%	—	$278 – $284
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$285	$331	$82	25%	—	$155 – $451
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$357	$324	$42	13%	—	$257 – $364
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$580	$595	$253	42%	—	$285 – $1.0k

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