Shoulder lock for body-powered prosthetic arm

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 lock actuator

Payers reporting HCPCS L6647

Payer pricing summary

Low

$162

Average

$758

Median

$675

High

$1.8k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +11 other terms	359	$646	$740	$345	47%	—	$308 – $4.2k
2	UnitedHealthcare fee schedule · outpatient · +9 other terms	356	$646	$648	$148	23%	—	$279 – $2.1k
3	Humana fee schedule · outpatient · +11 other terms	317	$640	$959	$1.0k	108%	—	$334 – $4.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	218	$656	$840	$440	52%	—	$0 – $3.1k
5	WellCare fee schedule · outpatient · +4 other terms	208	$662	$680	$101	15%	—	$612 – $1.2k
6	Devoted fee schedule · outpatient · +3 other terms	165	$643	$646	$15	2%	—	$621 – $777
7	Molina fee schedule · outpatient · +4 other terms	138	$915	$885	$331	37%	—	$397 – $1.7k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$656	$655	$23	3%	—	$643 – $784
9	Cigna fee schedule · outpatient · +8 other terms	102	$662	$732	$200	27%	—	$621 – $1.9k
10	Anthem fee schedule · outpatient · +6 other terms	80	$634	$872	$846	97%	—	$374 – $4.8k
11	Kaiser fee schedule · outpatient · +4 other terms	64	$659	$1.0k	$720	70%	—	$621 – $4.6k
12	Superior Healthplan fee schedule · outpatient	40	$675	$675	$3	0%	—	$630 – $675
13	Clover fee schedule · outpatient · +2 other terms	37	$643	$647	$34	5%	—	$612 – $762
14	Oscar fee schedule · outpatient · +3 other terms	36	$675	$742	$157	21%	—	$630 – $1.1k
15	Ambetter facility · fee schedule · outpatient · +5 other terms	34	$1.2k	$1.2k	$290	24%	—	$612 – $1.6k
16	Optum fee schedule · outpatient · +2 other terms	33	$643	$840	$340	41%	—	$617 – $1.6k
17	Caresource fee schedule · outpatient · +4 other terms	28	$643	$687	$181	26%	—	$374 – $988
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$654	$600	$156	26%	—	$213 – $1.1k
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$672	$645	$51	8%	—	$520 – $685
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$771	$750	$43	6%	—	$637 – $771
21	Bcbs Tx fee schedule · outpatient	18	$630	$630	—	—	—	$630 – $630
22	Medicare fee schedule · outpatient · +3 other terms	18	$621	$623	$5	1%	—	$621 – $634
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$639	$737	$182	25%	—	$348 – $1.0k
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$582	$581	$136	23%	—	$283 – $681
25	Wellmark fee schedule · both · +3 other terms	13	$611	$607	$23	4%	—	$465 – $611

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