Frame-style socket add-on for below-elbow 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Frame typ socket bel elbow/w

Payers reporting HCPCS L6687

Payer pricing summary

Low

$185

Average

$858

Median

$777

High

$2.1k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$717	$850	$392	46%	—	$338 – $4.7k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	358	$713	$732	$188	26%	—	$256 – $2.3k
3	Humana fee schedule · outpatient · +12 other terms	319	$714	$1.1k	$1.1k	105%	—	$369 – $5.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$720	$936	$497	53%	—	$0 – $3.4k
5	WellCare fee schedule · outpatient · +6 other terms	208	$727	$760	$129	17%	—	$681 – $1.4k
6	Devoted fee schedule · outpatient · +3 other terms	165	$706	$736	$71	10%	—	$706 – $960
7	Molina fee schedule · outpatient · +5 other terms	140	$1.0k	$983	$379	39%	—	$420 – $1.9k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$734	$737	$64	9%	—	$706 – $969
9	Cigna fee schedule · outpatient · +11 other terms	104	$752	$850	$226	27%	—	$462 – $2.1k
10	Anthem fee schedule · outpatient · +8 other terms	80	$923	$1.1k	$915	86%	—	$396 – $5.3k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$960	$1.3k	$769	61%	—	$706 – $5.2k
12	Superior Healthplan fee schedule · outpatient	40	$741	$741	$4	0%	—	$692 – $741
13	Clover fee schedule · outpatient · +3 other terms	37	$719	$728	$38	5%	—	$705 – $942
14	Ambetter facility · fee schedule · outpatient · +6 other terms	36	$1.3k	$1.3k	$325	25%	—	$512 – $1.8k
15	Oscar fee schedule · outpatient · +6 other terms	36	$741	$821	$185	22%	—	$692 – $1.2k
16	Optum fee schedule · outpatient · +3 other terms	33	$905	$989	$344	35%	—	$681 – $1.8k
17	Caresource fee schedule · outpatient · +5 other terms	29	$706	$734	$220	30%	—	$386 – $1.1k
18	Regence facility · fee schedule · outpatient · +4 other terms	19	$979	$886	$155	17%	—	$588 – $998
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$847	$826	$41	5%	—	$720 – $847
20	Bcbs Tx fee schedule · outpatient	18	$692	$692	—	—	—	$692 – $692
21	Medicare fee schedule · outpatient · +3 other terms	18	$905	$908	$7	1%	—	$905 – $923
22	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$706	$818	$203	25%	—	$384 – $1.1k
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$642	$642	$150	23%	—	$313 – $752
24	Wellmark fee schedule · both · +4 other terms	13	$678	$674	$26	4%	—	$514 – $678
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$380	$510	$154	30%	—	$380 – $692

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