Additional removable insert for upper limb brace

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

Removable insert each

Payers reporting HCPCS L6691

Payer pricing summary

Low

$146

Average

$534

Median

$486

High

$954

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$433	$535	$298	56%	—	$203 – $3.2k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	358	$428	$462	$120	26%	—	$207 – $1.6k
3	Humana fee schedule · outpatient · +12 other terms	319	$424	$653	$680	104%	—	$226 – $3.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$433	$613	$359	59%	—	$0 – $2.5k
5	WellCare fee schedule · outpatient · +6 other terms	208	$435	$457	$82	18%	—	$414 – $880
6	Devoted fee schedule · outpatient · +3 other terms	165	$424	$427	$18	4%	—	$406 – $575
7	Molina fee schedule · outpatient · +7 other terms	140	$622	$600	$224	37%	—	$212 – $1.1k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$437	$439	$35	8%	—	$423 – $580
9	Cigna fee schedule · outpatient · +11 other terms	104	$437	$523	$176	34%	—	$290 – $1.3k
10	Anthem fee schedule · outpatient · +8 other terms	80	$423	$616	$569	92%	—	$234 – $3.2k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$431	$781	$588	75%	—	$406 – $3.6k
12	Superior Healthplan fee schedule · outpatient	40	$444	$444	$2	0%	—	$414 – $444
13	Clover fee schedule · outpatient · +3 other terms	37	$442	$445	$19	4%	—	$424 – $563
14	Ambetter facility · fee schedule · outpatient · +6 other terms	36	$799	$841	$170	20%	—	$314 – $1.2k
15	Oscar fee schedule · outpatient · +4 other terms	36	$445	$525	$178	34%	—	$414 – $956
16	Optum fee schedule · outpatient · +3 other terms	33	$424	$568	$217	38%	—	$406 – $1.1k
17	Caresource fee schedule · outpatient · +5 other terms	28	$424	$458	$130	28%	—	$234 – $669
18	Regence facility · fee schedule · outpatient · +4 other terms	19	$440	$442	$14	3%	—	$405 – $465
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$509	$509	$16	3%	—	$484 – $545
20	Bcbs Tx fee schedule · outpatient	18	$414	$414	—	—	—	$414 – $414
21	Medicare fee schedule · outpatient · +3 other terms	18	$406	$408	$3	1%	—	$406 – $414
22	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$433	$501	$124	25%	—	$236 – $684
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$394	$394	$92	23%	—	$192 – $461
24	Wellmark fee schedule · both · +3 other terms	13	$483	$479	$27	6%	—	$315 – $483
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$233	$309	$90	29%	—	$233 – $416

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