Prosthetic sock, multi-ply, above-knee

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

HB Sock, Wook - Above the Knee

Payers reporting HCPCS L8430

Payer pricing summary

Low

Average

$72

Median

$52

High

$462

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +17 other terms	363	$30	$35	$16	46%	—	$16 – $192
2	UnitedHealthcare fee schedule · outpatient · +17 other terms	363	$30	$38	$52	136%	—	$13 – $458
3	Humana fee schedule · outpatient · +16 other terms	319	$33	$45	$45	99%	—	$15 – $215
4	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	224	$34	$46	$48	106%	—	$0 – $638
5	WellCare fee schedule · outpatient · +9 other terms	208	$30	$32	$6	20%	—	$27 – $62
6	Devoted fee schedule · outpatient · +5 other terms	165	$30	$30	$3	9%	—	$28 – $37
7	Molina fee schedule · outpatient · +12 other terms	143	$41	$39	$15	38%	—	$17 – $73
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$30	$30	$3	11%	—	$28 – $37
9	Cigna fee schedule · outpatient · +15 other terms	109	$34	$61	$99	163%	—	$21 – $510
10	Anthem fee schedule · outpatient · +18 other terms	83	$30	$60	$80	133%	—	$17 – $375
11	Kaiser fee schedule · outpatient · +12 other terms	69	$31	$59	$78	131%	—	$17 – $525
12	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$29	$29	$0	0%	—	$27 – $29
13	Clover fee schedule · outpatient · +3 other terms	37	$31	$32	$2	7%	—	$29 – $36
14	Ambetter facility · fee schedule · outpatient · +8 other terms	36	$52	$60	$18	30%	—	$21 – $84
15	Oscar fee schedule · outpatient · +7 other terms	36	$35	$36	$10	28%	—	$27 – $58
16	Optum fee schedule · outpatient · +6 other terms	34	$34	$39	$15	38%	—	$27 – $75
17	Caresource fee schedule · outpatient · +8 other terms	26	$34	$36	$5	13%	—	$29 – $45
18	Medica facility · fee schedule · outpatient · +10 other terms	22	$30	$27	$7	27%	—	$10 – $50
19	Amerihealth Caritas fee schedule · outpatient · +6 other terms	18	$41	$39	$4	10%	—	$28 – $41
20	Bcbs Tx fee schedule · outpatient	18	$27	$27	—	—	—	$27 – $27
21	Medicare fee schedule · outpatient · +3 other terms	18	$29	$29	$0	1%	—	$29 – $29
22	Regence facility · fee schedule · outpatient · +6 other terms	17	$31	$30	$3	9%	—	$23 – $32
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$29	$34	$8	25%	—	$16 – $46
24	Bcbs Mn fee schedule · outpatient · +8 other terms	13	$26	$26	$6	23%	—	$13 – $31
25	Wellmark fee schedule · both · +6 other terms	13	$29	$29	$1	4%	—	$21 – $29

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