Upper extremity prosthetic addition for above-elbow socket

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

Frame typ sock above elb/dis

Payers reporting HCPCS L6688

Payer pricing summary

Low

$201

Average

$879

Median

$813

High

$2.3k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$772	$872	$461	53%	—	$336 – $5.8k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	358	$725	$742	$216	29%	—	$299 – $2.9k
3	Humana fee schedule · outpatient · +12 other terms	319	$702	$1.2k	$1.4k	118%	—	$373 – $6.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$818	$1.0k	$536	54%	—	$0 – $4.0k
5	WellCare fee schedule · outpatient · +6 other terms	208	$818	$828	$114	14%	—	$654 – $1.3k
6	Devoted fee schedule · outpatient · +3 other terms	165	$702	$784	$77	10%	—	$623 – $893
7	Molina fee schedule · outpatient · +5 other terms	140	$1.2k	$1.1k	$439	39%	—	$395 – $2.2k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$751	$797	$61	8%	—	$649 – $890
9	Cigna fee schedule · outpatient · +10 other terms	102	$737	$839	$262	31%	—	$623 – $2.3k
10	Anthem fee schedule · outpatient · +6 other terms	80	$670	$982	$1.1k	108%	—	$373 – $5.9k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$662	$1.3k	$1.1k	82%	—	$623 – $6.3k
12	Superior Healthplan fee schedule · outpatient	40	$876	$876	$4	0%	—	$818 – $876
13	Clover fee schedule · outpatient · +3 other terms	37	$702	$729	$85	12%	—	$654 – $876
14	Ambetter facility · fee schedule · outpatient · +6 other terms	36	$1.3k	$1.4k	$304	22%	—	$567 – $1.8k
15	Oscar fee schedule · outpatient · +4 other terms	36	$818	$897	$192	21%	—	$737 – $1.3k
16	Optum fee schedule · outpatient · +3 other terms	33	$702	$989	$506	51%	—	$623 – $2.1k
17	Caresource fee schedule · outpatient · +5 other terms	29	$702	$754	$263	35%	—	$373 – $1.2k
18	Regence facility · fee schedule · outpatient · +4 other terms	19	$674	$709	$56	8%	—	$649 – $828
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$842	$819	$46	6%	—	$697 – $842
20	Bcbs Tx fee schedule · outpatient	18	$818	$818	—	—	—	$818 – $818
21	Medicare fee schedule · outpatient · +3 other terms	18	$623	$625	$5	1%	—	$623 – $636
22	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$782	$898	$223	25%	—	$425 – $1.2k
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$711	$711	$166	23%	—	$346 – $833
24	Wellmark fee schedule · both · +3 other terms	13	$655	$653	$14	2%	—	$569 – $655
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$421	$532	$132	25%	—	$421 – $688

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