Prosthetic arm cable lining addition

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

Teflon or equal cable lining

Payers reporting HCPCS L6665

Payer pricing summary

Low

$16

Average

$82

Median

$70

High

$347

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +12 other terms	361	$62	$73	$35	48%	—	$27 – $404
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	358	$62	$63	$16	25%	—	$25 – $200
3	Humana fee schedule · outpatient · +12 other terms	319	$59	$100	$123	122%	—	$29 – $578
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	219	$74	$82	$43	53%	—	$0 – $362
5	WellCare fee schedule · outpatient · +5 other terms	208	$64	$73	$14	19%	—	$54 – $127
6	Devoted fee schedule · outpatient · +3 other terms	165	$56	$69	$9	13%	—	$54 – $80
7	Molina fee schedule · outpatient · +5 other terms	140	$88	$97	$40	41%	—	$33 – $197
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$60	$70	$7	11%	—	$56 – $77
9	Cigna fee schedule · outpatient · +10 other terms	102	$59	$70	$22	31%	—	$54 – $165
10	Anthem fee schedule · outpatient · +6 other terms	80	$56	$80	$74	93%	—	$31 – $423
11	Kaiser fee schedule · outpatient · +6 other terms	64	$58	$97	$71	74%	—	$54 – $443
12	Superior Healthplan fee schedule · outpatient	40	$79	$79	$0	0%	—	$74 – $79
13	Clover fee schedule · outpatient · +2 other terms	37	$64	$66	$7	11%	—	$56 – $79
14	Ambetter facility · fee schedule · outpatient · +6 other terms	36	$101	$108	$25	23%	—	$41 – $145
15	Oscar fee schedule · outpatient · +6 other terms	36	$74	$76	$15	20%	—	$59 – $103
16	Optum fee schedule · outpatient · +2 other terms	33	$56	$86	$47	55%	—	$54 – $188
17	Caresource fee schedule · outpatient · +5 other terms	29	$56	$59	$18	30%	—	$31 – $87
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$58	$53	$14	26%	—	$19 – $94
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$59	$58	$2	4%	—	$50 – $60
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$68	$67	$1	2%	—	$64 – $68
21	Bcbs Tx fee schedule · outpatient	18	$74	$74	—	—	—	$74 – $74
22	Medicare fee schedule · outpatient · +3 other terms	18	$54	$54	$0	1%	—	$54 – $55
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$56	$65	$16	25%	—	$31 – $89
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$51	$51	$12	23%	—	$25 – $60
25	Wellmark fee schedule · both · +4 other terms	13	$54	$54	$2	4%	—	$41 – $54

Page 1 of 3 · 53 payers