Locking wrist unit disconnect for upper 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

Disconnect locking wrist uni

Payers reporting HCPCS L6615

Payer pricing summary

Low

$58

Average

$292

Median

$267

High

$524

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$240	$281	$141	50%	—	$112 – $1.7k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	358	$237	$240	$68	28%	—	$63 – $868
3	Humana fee schedule · outpatient · +12 other terms	319	$235	$354	$380	107%	—	$138 – $1.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$239	$315	$176	56%	—	$0 – $1.2k
5	WellCare fee schedule · outpatient · +6 other terms	208	$245	$251	$36	14%	—	$209 – $439
6	Devoted fee schedule · outpatient · +3 other terms	165	$238	$238	$6	2%	—	$230 – $289
7	Molina fee schedule · outpatient · +5 other terms	140	$348	$331	$126	38%	—	$107 – $623
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$242	$243	$9	4%	—	$235 – $292
9	Cigna fee schedule · outpatient · +12 other terms	104	$242	$277	$88	32%	—	$145 – $773
10	Anthem fee schedule · outpatient · +8 other terms	80	$239	$339	$355	104%	—	$145 – $2.0k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$244	$407	$308	76%	—	$230 – $1.9k
12	Superior Healthplan fee schedule · outpatient	40	$250	$249	$1	0%	—	$233 – $250
13	Clover fee schedule · outpatient · +3 other terms	37	$235	$236	$15	6%	—	$221 – $284
14	Ambetter facility · fee schedule · outpatient · +6 other terms	36	$444	$442	$112	25%	—	$191 – $587
15	Oscar fee schedule · outpatient · +6 other terms	36	$246	$274	$56	20%	—	$233 – $397
16	Optum fee schedule · outpatient · +3 other terms	33	$235	$313	$124	40%	—	$229 – $594
17	Caresource fee schedule · outpatient · +5 other terms	29	$235	$255	$86	34%	—	$128 – $408
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$270	$245	$62	25%	—	$88 – $389
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$249	$246	$9	4%	—	$218 – $253
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$282	$276	$9	3%	—	$256 – $282
21	Bcbs Tx fee schedule · outpatient	18	$233	$233	—	—	—	$233 – $233
22	Medicare fee schedule · outpatient · +3 other terms	18	$230	$230	$2	1%	—	$230 – $234
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$264	$303	$75	25%	—	$144 – $417
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$240	$240	$56	23%	—	$117 – $281
25	Wellmark fee schedule · both · +4 other terms	13	$224	$223	$5	2%	—	$192 – $224

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