Upper extremity prosthetic 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

Frame typ socket shoulder di

Payers reporting HCPCS L6689

Payer pricing summary

Low

$229

Average

$1.1k

Median

$1.0k

High

$2.7k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$882	$1.1k	$558	52%	—	$403 – $7.1k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	358	$878	$906	$268	30%	—	$342 – $3.5k
3	Humana fee schedule · outpatient · +12 other terms	319	$873	$1.3k	$1.4k	106%	—	$471 – $6.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	220	$873	$1.2k	$642	55%	—	$0 – $4.2k
5	WellCare fee schedule · outpatient · +5 other terms	208	$899	$953	$229	24%	—	$824 – $2.1k
6	Devoted fee schedule · outpatient · +3 other terms	165	$873	$895	$71	8%	—	$841 – $1.1k
7	Molina fee schedule · outpatient · +5 other terms	140	$1.3k	$1.2k	$476	38%	—	$499 – $2.3k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$891	$896	$63	7%	—	$841 – $1.1k
9	Cigna fee schedule · outpatient · +8 other terms	104	$908	$1.1k	$321	30%	—	$707 – $2.7k
10	Anthem fee schedule · outpatient · +6 other terms	80	$1.1k	$1.3k	$1.2k	95%	—	$471 – $7.0k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$1.1k	$1.7k	$1.2k	72%	—	$1.0k – $7.8k
12	Superior Healthplan fee schedule · outpatient	40	$917	$917	$4	0%	—	$856 – $917
13	Clover fee schedule · outpatient · +2 other terms	37	$1.1k	$981	$98	10%	—	$841 – $1.1k
14	Oscar fee schedule · outpatient · +4 other terms	36	$883	$1.0k	$228	23%	—	$856 – $1.5k
15	Ambetter facility · fee schedule · outpatient · +6 other terms	35	$1.7k	$1.6k	$351	22%	—	$824 – $2.1k
16	Optum fee schedule · outpatient · +2 other terms	33	$1.1k	$1.2k	$437	37%	—	$825 – $2.2k
17	Caresource fee schedule · outpatient · +5 other terms	29	$841	$906	$309	34%	—	$460 – $1.4k
18	Regence facility · fee schedule · outpatient · +4 other terms	19	$1.1k	$1.1k	$88	8%	—	$882 – $1.2k
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$1.0k	$982	$53	5%	—	$841 – $1.0k
20	Bcbs Tx fee schedule · outpatient	18	$856	$856	—	—	—	$856 – $856
21	Medicare fee schedule · outpatient · +3 other terms	18	$1.1k	$1.1k	$8	1%	—	$1.1k – $1.1k
22	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$931	$1.1k	$265	25%	—	$507 – $1.5k
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$847	$847	$198	23%	—	$412 – $992
24	Wellmark fee schedule · both · +3 other terms	13	$818	$814	$22	3%	—	$678 – $818
25	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$501	$636	$159	25%	—	$501 – $824

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