Wrist rotation unit addition for upper-limb orthosis

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

Rotation wrst w/ cable lock

Payers reporting HCPCS L6625

Payer pricing summary

Low

$225

Average

$870

Median

$809

High

$1.9k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +11 other terms	359	$766	$870	$463	53%	—	$356 – $6.1k
2	UnitedHealthcare fee schedule · outpatient · +10 other terms	356	$751	$738	$210	28%	—	$168 – $2.5k
3	Humana fee schedule · outpatient · +11 other terms	317	$744	$1.2k	$1.4k	118%	—	$340 – $6.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	218	$851	$1.0k	$506	50%	—	$0 – $4.2k
5	WellCare fee schedule · outpatient · +4 other terms	208	$782	$853	$113	13%	—	$628 – $1.3k
6	Devoted fee schedule · outpatient · +3 other terms	165	$744	$814	$85	10%	—	$626 – $929
7	Molina fee schedule · outpatient · +4 other terms	138	$1.0k	$1.1k	$453	40%	—	$378 – $2.3k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$796	$827	$69	8%	—	$651 – $894
9	Cigna fee schedule · outpatient · +8 other terms	102	$781	$833	$214	26%	—	$626 – $1.9k
10	Anthem fee schedule · outpatient · +6 other terms	80	$651	$925	$856	92%	—	$356 – $4.9k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$664	$1.2k	$914	76%	—	$626 – $5.5k
12	Superior Healthplan fee schedule · outpatient	40	$912	$911	$4	0%	—	$851 – $912
13	Clover fee schedule · outpatient · +2 other terms	37	$744	$743	$106	14%	—	$638 – $912
14	Oscar fee schedule · outpatient · +4 other terms	36	$851	$935	$228	24%	—	$716 – $1.5k
15	Ambetter facility · fee schedule · outpatient · +6 other terms	35	$1.2k	$1.4k	$314	22%	—	$729 – $1.9k
16	Optum fee schedule · outpatient · +2 other terms	33	$744	$1.0k	$539	53%	—	$626 – $2.2k
17	Caresource fee schedule · outpatient · +5 other terms	28	$744	$750	$186	25%	—	$356 – $1.0k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$666	$611	$159	26%	—	$217 – $1.1k
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$677	$682	$21	3%	—	$628 – $722
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$893	$861	$69	8%	—	$670 – $893
21	Bcbs Tx fee schedule · outpatient	18	$851	$851	—	—	—	$851 – $851
22	Medicare fee schedule · outpatient · +3 other terms	18	$626	$628	$5	1%	—	$626 – $638
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$651	$754	$187	25%	—	$354 – $1.0k
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$592	$592	$138	23%	—	$288 – $694
25	Wellmark fee schedule · both · +3 other terms	13	$626	$622	$24	4%	—	$474 – $626

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