Prosthetic arm harness with triple control

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

UE triple control harness

Payers reporting HCPCS L6677

Payer pricing summary

Low

$93

Average

$418

Median

$374

High

$1.0k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +7 other terms	359	$369	$423	$197	47%	—	$176 – $2.4k
2	UnitedHealthcare fee schedule · outpatient · +9 other terms	356	$369	$363	$94	26%	—	$148 – $1.2k
3	Humana fee schedule · outpatient · +9 other terms	317	$366	$548	$589	108%	—	$191 – $2.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	218	$375	$480	$251	52%	—	$0 – $1.8k
5	WellCare fee schedule · outpatient · +4 other terms	208	$378	$388	$58	15%	—	$350 – $696
6	Devoted fee schedule · outpatient · +3 other terms	165	$367	$369	$9	2%	—	$355 – $444
7	Molina fee schedule · outpatient · +4 other terms	138	$523	$506	$189	37%	—	$254 – $962
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$375	$374	$13	3%	—	$367 – $448
9	Cigna fee schedule · outpatient · +5 other terms	102	$378	$418	$114	27%	—	$355 – $1.1k
10	Anthem fee schedule · outpatient · +6 other terms	80	$362	$499	$483	97%	—	$239 – $2.7k
11	Kaiser fee schedule · outpatient · +3 other terms	64	$377	$587	$411	70%	—	$355 – $2.6k
12	Superior Healthplan fee schedule · outpatient	40	$386	$385	$2	0%	—	$360 – $386
13	Clover fee schedule · outpatient · +2 other terms	37	$367	$370	$20	5%	—	$350 – $435
14	Oscar fee schedule · outpatient · +3 other terms	36	$386	$424	$90	21%	—	$360 – $618
15	Ambetter facility · fee schedule · outpatient · +5 other terms	34	$657	$688	$166	24%	—	$350 – $918
16	Optum fee schedule · outpatient · +2 other terms	33	$367	$480	$194	41%	—	$352 – $918
17	Caresource fee schedule · outpatient · +4 other terms	28	$367	$396	$98	25%	—	$239 – $565
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$384	$368	$29	8%	—	$297 – $391
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$441	$429	$24	6%	—	$364 – $441
20	Bcbs Tx fee schedule · outpatient	18	$360	$360	—	—	—	$360 – $360
21	Medicare fee schedule · outpatient · +1 other terms	18	$355	$356	$3	1%	—	$355 – $362
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$365	$421	$104	25%	—	$199 – $577
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$332	$332	$78	23%	—	$162 – $389
24	Wellmark fee schedule · both · +1 other terms	13	$349	$347	$13	4%	—	$266 – $349
25	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$197	$265	$81	30%	—	$197 – $360

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