Energy-storing foot prosthesis (Seattle Carbon Copy II or equivalent)

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

Le - Energy Storing Foot

Payers reporting HCPCS L5976

Payer pricing summary

Low

$237

Average

$892

Median

$792

High

$1.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	365	$729	$764	$265	35%	—	$299 – $2.8k
2	Aetna fee schedule · outpatient · +15 other terms	361	$740	$875	$481	55%	—	$328 – $6.2k
3	Humana fee schedule · outpatient · +13 other terms	319	$726	$1.1k	$1.2k	109%	—	$378 – $5.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	223	$743	$1.0k	$568	56%	—	$0 – $3.6k
5	WellCare fee schedule · outpatient · +6 other terms	208	$762	$788	$170	22%	—	$672 – $1.7k
6	Devoted fee schedule · outpatient · +4 other terms	165	$740	$734	$30	4%	—	$686 – $932
7	Molina fee schedule · outpatient · +10 other terms	144	$1.1k	$1.0k	$388	38%	—	$466 – $1.9k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$734	$741	$27	4%	—	$686 – $941
9	Cigna fee schedule · outpatient · +14 other terms	111	$740	$947	$442	47%	—	$556 – $2.4k
10	Anthem fee schedule · outpatient · +12 other terms	84	$726	$1000	$903	90%	—	$440 – $5.4k
11	Kaiser fee schedule · outpatient · +10 other terms	68	$755	$1.2k	$883	71%	—	$477 – $5.6k
12	Ambetter facility · fee schedule · outpatient · +7 other terms	47	$1.3k	$1.3k	$273	21%	—	$525 – $1.8k
13	Superior Healthplan fee schedule · outpatient	40	$780	$780	$4	0%	—	$729 – $780
14	Clover fee schedule · outpatient · +3 other terms	37	$848	$793	$64	8%	—	$686 – $914
15	Oscar fee schedule · outpatient · +6 other terms	36	$728	$877	$274	31%	—	$720 – $1.6k
16	Optum fee schedule · outpatient · +4 other terms	33	$711	$955	$403	42%	—	$686 – $1.9k
17	Caresource fee schedule · outpatient · +5 other terms	29	$686	$734	$223	30%	—	$375 – $1.1k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$740	$682	$183	27%	—	$241 – $1.3k
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$770	$752	$40	5%	—	$639 – $785
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$823	$802	$39	5%	—	$699 – $823
21	Bcbs Tx fee schedule · outpatient	18	$729	$729	—	—	—	$729 – $729
22	Medicare fee schedule · outpatient · +3 other terms	18	$711	$714	$6	1%	—	$711 – $726
23	Tricare facility · fee schedule · outpatient · +2 other terms	16	$686	$728	$71	10%	—	$672 – $865
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$724	$836	$207	25%	—	$394 – $1.1k
25	Highmark facility · fee schedule · outpatient · +5 other terms	14	$1.3k	$1.3k	$534	43%	—	$659 – $2.3k

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