Upper extremity prosthesis harness, dual cable

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

Harness figure of 8 dual con

Payers reporting HCPCS L6676

Payer pricing summary

Low

$51

Average

$206

Median

$183

High

$503

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	361	$172	$196	$104	53%	—	$81 – $1.3k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	359	$170	$166	$45	27%	—	$73 – $600
3	Humana fee schedule · outpatient · +12 other terms	317	$170	$247	$258	105%	—	$80 – $1.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	222	$173	$225	$116	52%	—	$0 – $774
5	WellCare fee schedule · outpatient · +6 other terms	208	$170	$175	$33	19%	—	$148 – $348
6	Devoted fee schedule · outpatient · +3 other terms	165	$170	$165	$6	4%	—	$159 – $202
7	Molina fee schedule · outpatient · +6 other terms	140	$236	$226	$84	37%	—	$90 – $421
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$173	$166	$10	6%	—	$154 – $204
9	Cigna fee schedule · outpatient · +11 other terms	102	$175	$190	$50	26%	—	$156 – $451
10	Anthem fee schedule · outpatient · +6 other terms	80	$170	$220	$201	92%	—	$85 – $1.2k
11	Kaiser fee schedule · outpatient · +8 other terms	64	$177	$295	$213	72%	—	$167 – $1.3k
12	Superior Healthplan fee schedule · outpatient	40	$169	$169	$1	0%	—	$157 – $169
13	Clover fee schedule · outpatient · +3 other terms	37	$175	$175	$5	3%	—	$169 – $198
14	Ambetter facility · fee schedule · outpatient · +6 other terms	36	$281	$315	$78	25%	—	$112 – $425
15	Oscar fee schedule · outpatient · +6 other terms	36	$178	$196	$57	29%	—	$157 – $337
16	Optum fee schedule · outpatient · +3 other terms	33	$170	$214	$83	39%	—	$148 – $401
17	Caresource fee schedule · outpatient · +5 other terms	28	$170	$174	$44	25%	—	$85 – $238
18	Regence facility · fee schedule · outpatient · +5 other terms	19	$180	$176	$9	5%	—	$151 – $184
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$204	$196	$16	8%	—	$151 – $204
20	Bcbs Tx fee schedule · outpatient	18	$157	$157	—	—	—	$157 – $157
21	Medicare fee schedule · outpatient · +3 other terms	18	$167	$167	$1	1%	—	$167 – $170
22	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$154	$178	$44	25%	—	$84 – $243
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$140	$140	$33	23%	—	$68 – $164
24	Wellmark fee schedule · both · +4 other terms	13	$153	$152	$7	4%	—	$112 – $153
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$83	$118	$41	35%	—	$83 – $167

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