Lower leg prosthesis with single-axis ankle and flexible foot

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

Combo ankle/foot prosthesis

Payers reporting HCPCS L5975

Payer pricing summary

Low

$145

Average

$653

Median

$599

High

$1.3k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +10 other terms	360	$577	$661	$307	46%	—	$275 – $3.7k
2	UnitedHealthcare fee schedule · outpatient · +12 other terms	358	$579	$574	$134	23%	—	$249 – $1.8k
3	Humana fee schedule · outpatient · +9 other terms	319	$571	$855	$919	107%	—	$298 – $4.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	218	$585	$749	$393	52%	—	$0 – $2.8k
5	WellCare fee schedule · outpatient · +5 other terms	208	$591	$607	$90	15%	—	$546 – $1.1k
6	Devoted fee schedule · outpatient · +3 other terms	165	$574	$577	$14	2%	—	$554 – $693
7	Molina fee schedule · outpatient · +4 other terms	140	$817	$793	$297	37%	—	$350 – $1.5k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$585	$585	$20	3%	—	$574 – $700
9	Cigna fee schedule · outpatient · +11 other terms	102	$591	$654	$178	27%	—	$554 – $1.7k
10	Anthem fee schedule · outpatient · +6 other terms	80	$566	$779	$755	97%	—	$330 – $4.3k
11	Kaiser fee schedule · outpatient · +4 other terms	64	$589	$917	$643	70%	—	$554 – $4.1k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	45	$856	$1.0k	$255	25%	—	$546 – $1.4k
13	Superior Healthplan fee schedule · outpatient	40	$603	$602	$3	0%	—	$563 – $603
14	Clover fee schedule · outpatient · +3 other terms	37	$574	$577	$31	5%	—	$546 – $680
15	Oscar fee schedule · outpatient · +3 other terms	35	$603	$654	$133	20%	—	$562 – $964
16	Optum fee schedule · outpatient · +3 other terms	33	$574	$750	$304	41%	—	$551 – $1.4k
17	Caresource fee schedule · outpatient · +4 other terms	28	$574	$613	$163	27%	—	$330 – $882
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$584	$536	$140	26%	—	$190 – $946
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$600	$576	$46	8%	—	$464 – $612
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$689	$670	$38	6%	—	$568 – $689
21	Bcbs Tx fee schedule · outpatient	18	$563	$563	—	—	—	$563 – $563
22	Medicare fee schedule · outpatient · +1 other terms	18	$554	$557	$4	1%	—	$554 – $566
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$557	$554	$14	3%	—	$501 – $566
24	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$571	$658	$163	25%	—	$311 – $902
25	Highmark facility · fee schedule · outpatient · +4 other terms	14	$963	$942	$391	41%	—	$535 – $1.6k

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