Dynamic prosthetic pylon 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

Lwr ext dynamic prosth pylon

Payers reporting HCPCS L5985

Payer pricing summary

Low

$88

Average

$429

Median

$366

High

$1.6k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +12 other terms	359	$351	$403	$188	47%	—	$167 – $2.3k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	356	$353	$353	$81	23%	—	$153 – $1.1k
3	Humana fee schedule · outpatient · +10 other terms	317	$348	$522	$560	107%	—	$182 – $2.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	218	$357	$460	$247	54%	—	$0 – $1.9k
5	WellCare fee schedule · outpatient · +5 other terms	208	$360	$370	$57	15%	—	$335 – $675
6	Devoted fee schedule · outpatient · +4 other terms	165	$350	$351	$8	2%	—	$337 – $425
7	Molina fee schedule · outpatient · +5 other terms	138	$496	$481	$180	37%	—	$215 – $916
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$357	$356	$13	4%	—	$350 – $429
9	Cigna fee schedule · outpatient · +12 other terms	102	$360	$398	$109	27%	—	$337 – $1.0k
10	Anthem fee schedule · outpatient · +8 other terms	80	$350	$476	$460	97%	—	$203 – $2.6k
11	Kaiser fee schedule · outpatient · +4 other terms	64	$357	$558	$392	70%	—	$337 – $2.5k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	45	$524	$626	$153	24%	—	$343 – $874
13	Superior Healthplan fee schedule · outpatient	40	$367	$367	$2	0%	—	$343 – $367
14	Clover fee schedule · outpatient · +3 other terms	37	$350	$355	$16	5%	—	$339 – $417
15	Oscar fee schedule · outpatient · +3 other terms	36	$367	$403	$86	21%	—	$343 – $588
16	Optum fee schedule · outpatient · +4 other terms	33	$350	$456	$185	41%	—	$335 – $874
17	Caresource fee schedule · outpatient · +4 other terms	28	$350	$374	$99	26%	—	$203 – $537
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$356	$326	$85	26%	—	$116 – $576
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$364	$350	$27	8%	—	$283 – $371
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$420	$408	$23	6%	—	$346 – $420
21	Bcbs Tx fee schedule · outpatient	18	$343	$343	—	—	—	$343 – $343
22	Medicare fee schedule · outpatient · +1 other terms	18	$337	$338	$3	1%	—	$337 – $344
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$348	$401	$99	25%	—	$189 – $549
24	Highmark facility · fee schedule · outpatient · +4 other terms	14	$604	$586	$239	41%	—	$326 – $960
25	Tricare facility · fee schedule · outpatient · +2 other terms	14	$339	$339	$9	3%	—	$312 – $346

Page 1 of 3 · 53 payers