Upper arm prosthetic test socket addition for shoulder disarticulation

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

Test socket shldr disart/tho

Payers reporting HCPCS L6684

Payer pricing summary

Low

$148

Average

$581

Median

$526

High

$1.2k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	361	$440	$558	$334	60%	—	$204 – $4.0k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	358	$435	$462	$148	32%	—	$155 – $1.9k
3	Humana fee schedule · outpatient · +12 other terms	319	$444	$660	$687	104%	—	$288 – $3.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$435	$634	$392	62%	—	$0 – $2.1k
5	WellCare fee schedule · outpatient · +6 other terms	208	$448	$474	$114	24%	—	$418 – $1.1k
6	Devoted fee schedule · outpatient · +3 other terms	165	$427	$434	$16	4%	—	$427 – $580
7	Molina fee schedule · outpatient · +5 other terms	140	$628	$628	$243	39%	—	$305 – $1.2k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$444	$439	$22	5%	—	$427 – $586
9	Cigna fee schedule · outpatient · +11 other terms	104	$448	$526	$191	36%	—	$350 – $1.7k
10	Anthem fee schedule · outpatient · +6 other terms	80	$457	$691	$777	112%	—	$288 – $4.3k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$475	$879	$687	78%	—	$448 – $4.2k
12	Superior Healthplan fee schedule · outpatient	40	$448	$448	$2	0%	—	$418 – $448
13	Clover fee schedule · outpatient · +3 other terms	37	$534	$489	$47	10%	—	$427 – $569
14	Ambetter facility · fee schedule · outpatient · +6 other terms	36	$926	$889	$174	20%	—	$413 – $1.1k
15	Oscar fee schedule · outpatient · +4 other terms	36	$448	$531	$175	33%	—	$418 – $967
16	Optum fee schedule · outpatient · +3 other terms	33	$448	$577	$216	37%	—	$418 – $1.1k
17	Caresource fee schedule · outpatient · +5 other terms	28	$427	$519	$199	38%	—	$288 – $879
18	Regence facility · fee schedule · outpatient · +4 other terms	19	$485	$496	$21	4%	—	$466 – $544
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$512	$499	$25	5%	—	$435 – $512
20	Bcbs Tx fee schedule · outpatient	18	$418	$418	—	—	—	$418 – $418
21	Medicare fee schedule · outpatient · +3 other terms	18	$448	$450	$3	1%	—	$448 – $457
22	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$569	$651	$163	25%	—	$310 – $899
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$518	$517	$121	23%	—	$252 – $606
24	Wellmark fee schedule · both · +3 other terms	13	$410	$410	$1	0%	—	$410 – $414
25	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$306	$353	$55	16%	—	$306 – $418

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