Replacement gasket or seal for prosthetic 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

Pros soc insert gasket/seal

Payers reporting HCPCS L7700

Payer pricing summary

Low

$39

Average

$178

Median

$161

High

$305

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +11 other terms	358	$144	$177	$90	51%	—	$66 – $1.1k
2	UnitedHealthcare fee schedule · outpatient · +12 other terms	355	$141	$154	$41	26%	—	$68 – $524
3	Humana fee schedule · outpatient · +8 other terms	319	$144	$214	$220	103%	—	$96 – $1.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	219	$141	$189	$98	52%	—	$113 – $825
5	WellCare fee schedule · outpatient · +5 other terms	208	$145	$152	$33	22%	—	$135 – $326
6	Devoted fee schedule · outpatient · +3 other terms	165	$138	$140	$6	4%	—	$138 – $188
7	Molina fee schedule · outpatient · +4 other terms	140	$203	$201	$75	37%	—	$116 – $382
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$146	$144	$12	8%	—	$138 – $190
9	Cigna fee schedule · outpatient · +9 other terms	104	$144	$175	$66	38%	—	$107 – $540
10	Anthem fee schedule · outpatient · +6 other terms	80	$146	$229	$250	109%	—	$135 – $1.4k
11	Kaiser fee schedule · outpatient · +4 other terms	64	$149	$251	$186	74%	—	$143 – $1.2k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	41	$256	$278	$59	21%	—	$134 – $375
13	Superior Healthplan fee schedule · outpatient	40	$145	$145	$1	0%	—	$135 – $145
14	Clover fee schedule · outpatient · +3 other terms	37	$164	$154	$11	7%	—	$138 – $184
15	Oscar fee schedule · outpatient · +4 other terms	36	$145	$167	$44	26%	—	$135 – $272
16	Optum fee schedule · outpatient · +3 other terms	33	$143	$191	$68	36%	—	$138 – $345
17	Caresource fee schedule · outpatient · +5 other terms	28	$138	$175	$59	33%	—	$138 – $285
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$152	$150	$6	4%	—	$132 – $155
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$166	$166	$6	3%	—	$158 – $180
20	Bcbs Tx fee schedule · outpatient	18	$135	$135	—	—	—	$135 – $135
21	Medicare fee schedule · outpatient · +1 other terms	18	$143	$143	—	—	—	$143 – $143
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$184	$211	$53	25%	—	$100 – $291
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$168	$167	$39	23%	—	$82 – $196
24	Wellmark fee schedule · both · +1 other terms	13	$141	$141	$1	1%	—	$134 – $141
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$99	$114	$18	16%	—	$99 – $135

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