Upper limb orthosis add-on: polycentric hinge pair

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

Polycentric hinge pair

Payers reporting HCPCS L6600

Payer pricing summary

Low

$79

Average

$330

Median

$294

High

$862

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	359	$279	$304	$163	53%	—	$110 – $2.1k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	356	$254	$258	$69	27%	—	$55 – $825
3	Humana fee schedule · outpatient · +12 other terms	317	$240	$413	$502	122%	—	$134 – $2.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	218	$300	$356	$202	57%	—	$0 – $1.5k
5	WellCare fee schedule · outpatient · +4 other terms	208	$269	$299	$66	22%	—	$225 – $597
6	Devoted fee schedule · outpatient · +3 other terms	165	$230	$280	$38	13%	—	$221 – $328
7	Molina fee schedule · outpatient · +5 other terms	138	$383	$403	$160	40%	—	$142 – $802
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$246	$284	$31	11%	—	$230 – $315
9	Cigna fee schedule · outpatient · +9 other terms	102	$241	$285	$97	34%	—	$221 – $819
10	Anthem fee schedule · outpatient · +6 other terms	80	$230	$347	$379	109%	—	$134 – $2.1k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$234	$410	$300	73%	—	$221 – $1.8k
12	Superior Healthplan fee schedule · outpatient	40	$322	$321	$2	0%	—	$300 – $322
13	Clover fee schedule · outpatient · +2 other terms	37	$300	$285	$33	12%	—	$230 – $322
14	Oscar fee schedule · outpatient · +6 other terms	36	$300	$322	$85	26%	—	$241 – $521
15	Ambetter facility · fee schedule · outpatient · +6 other terms	35	$503	$472	$83	18%	—	$225 – $574
16	Optum fee schedule · outpatient · +2 other terms	33	$230	$353	$192	54%	—	$221 – $765
17	Caresource fee schedule · outpatient · +5 other terms	28	$230	$266	$94	35%	—	$134 – $432
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$286	$257	$65	25%	—	$93 – $390
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$239	$236	$9	4%	—	$207 – $243
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$276	$270	$9	3%	—	$248 – $276
21	Bcbs Tx fee schedule · outpatient	18	$300	$300	—	—	—	$300 – $300
22	Medicare fee schedule · outpatient · +3 other terms	18	$221	$221	$2	1%	—	$221 – $225
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$279	$321	$80	25%	—	$152 – $441
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$254	$254	$59	23%	—	$124 – $298
25	Wellmark fee schedule · both · +4 other terms	13	$222	$222	$3	1%	—	$203 – $222

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