Prosthetic arm quick-disconnect collar and coupling

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

Lamination collar w/ couplin

Payers reporting HCPCS L6629

Payer pricing summary

Low

$56

Average

$251

Median

$228

High

$492

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$214	$232	$106	46%	—	$86 – $1.2k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	358	$213	$197	$51	26%	—	$77 – $595
3	Humana fee schedule · outpatient · +12 other terms	319	$213	$306	$352	115%	—	$125 – $1.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$213	$269	$157	58%	—	$0 – $1.0k
5	WellCare fee schedule · outpatient · +6 other terms	208	$213	$220	$41	19%	—	$176 – $419
6	Devoted fee schedule · outpatient · +3 other terms	165	$217	$209	$17	8%	—	$179 – $244
7	Molina fee schedule · outpatient · +5 other terms	140	$294	$293	$115	39%	—	$126 – $569
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$192	$210	$14	7%	—	$179 – $246
9	Cigna fee schedule · outpatient · +12 other terms	104	$216	$223	$72	32%	—	$138 – $699
10	Anthem fee schedule · outpatient · +8 other terms	80	$220	$298	$324	109%	—	$138 – $1.8k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$229	$321	$201	63%	—	$179 – $1.3k
12	Superior Healthplan fee schedule · outpatient	40	$228	$228	$1	0%	—	$213 – $228
13	Clover fee schedule · outpatient · +3 other terms	37	$210	$207	$16	8%	—	$179 – $239
14	Oscar fee schedule · outpatient · +6 other terms	36	$213	$238	$57	24%	—	$188 – $364
15	Ambetter facility · fee schedule · outpatient · +6 other terms	35	$395	$369	$72	20%	—	$176 – $448
16	Optum fee schedule · outpatient · +3 other terms	33	$216	$275	$122	44%	—	$179 – $543
17	Caresource fee schedule · outpatient · +5 other terms	29	$179	$213	$84	39%	—	$98 – $369
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$244	$221	$54	24%	—	$80 – $333
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$233	$214	$32	15%	—	$150 – $238
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$215	$210	$10	5%	—	$183 – $215
21	Bcbs Tx fee schedule · outpatient	18	$213	$213	—	—	—	$213 – $213
22	Medicare fee schedule · outpatient · +3 other terms	18	$216	$216	$2	1%	—	$216 – $220
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$239	$273	$68	25%	—	$130 – $377
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$217	$217	$51	23%	—	$106 – $254
25	Wellmark fee schedule · both · +3 other terms	13	$177	$177	$1	0%	—	$174 – $177

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