Shoulder flexion-abduction joint 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

Shoulder flexion-abduction j

Payers reporting HCPCS L6645

Payer pricing summary

Low

$135

Average

$533

Median

$483

High

$1.1k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$496	$534	$269	50%	—	$235 – $3.2k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	358	$496	$460	$126	27%	—	$68 – $1.6k
3	Humana fee schedule · outpatient · +12 other terms	319	$486	$716	$799	112%	—	$234 – $3.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	219	$501	$627	$315	50%	—	$0 – $2.4k
5	WellCare fee schedule · outpatient · +5 other terms	208	$508	$506	$60	12%	—	$383 – $771
6	Devoted fee schedule · outpatient · +3 other terms	165	$491	$482	$37	8%	—	$375 – $531
7	Molina fee schedule · outpatient · +5 other terms	140	$701	$669	$255	38%	—	$260 – $1.3k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$503	$490	$35	7%	—	$391 – $536
9	Cigna fee schedule · outpatient · +10 other terms	102	$506	$518	$141	27%	—	$375 – $1.3k
10	Anthem fee schedule · outpatient · +6 other terms	80	$391	$583	$602	103%	—	$245 – $3.4k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$399	$756	$592	78%	—	$375 – $3.6k
12	Superior Healthplan fee schedule · outpatient	40	$518	$518	$2	0%	—	$483 – $518
13	Clover fee schedule · outpatient · +2 other terms	37	$491	$457	$62	14%	—	$387 – $521
14	Oscar fee schedule · outpatient · +4 other terms	36	$516	$568	$134	24%	—	$483 – $886
15	Ambetter facility · fee schedule · outpatient · +6 other terms	35	$807	$906	$225	25%	—	$383 – $1.2k
16	Optum fee schedule · outpatient · +2 other terms	33	$491	$601	$290	48%	—	$375 – $1.2k
17	Caresource fee schedule · outpatient · +5 other terms	28	$491	$502	$128	25%	—	$245 – $693
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$458	$415	$106	26%	—	$149 – $690
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$406	$418	$21	5%	—	$391 – $465
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$590	$564	$57	10%	—	$406 – $590
21	Bcbs Tx fee schedule · outpatient	18	$483	$483	—	—	—	$483 – $483
22	Medicare fee schedule · outpatient · +3 other terms	18	$375	$377	$3	1%	—	$375 – $383
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$448	$516	$128	25%	—	$244 – $708
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$408	$408	$95	23%	—	$198 – $478
25	Wellmark fee schedule · both · +3 other terms	13	$398	$396	$11	3%	—	$326 – $398

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