Prosthetic sock, single-ply, upper limb

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 sock single ply upper l

Payers reporting HCPCS L8485

Payer pricing summary

Low

Average

$25

Median

$17

High

$310

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$14	$18	$10	56%	—	$7 – $118
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	357	$14	$15	$4	30%	—	$7 – $58
3	Humana fee schedule · outpatient · +12 other terms	318	$14	$21	$22	104%	—	$8 – $105
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	219	$14	$20	$12	57%	—	$0 – $66
5	WellCare fee schedule · outpatient · +5 other terms	208	$14	$15	$2	16%	—	$13 – $27
6	Devoted fee schedule · outpatient · +3 other terms	165	$14	$14	$1	7%	—	$14 – $19
7	Molina fee schedule · outpatient · +7 other terms	139	$20	$20	$8	38%	—	$8 – $36
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$15	$14	$1	6%	—	$14 – $19
9	Cigna fee schedule · outpatient · +12 other terms	104	$16	$17	$5	30%	—	$9 – $44
10	Anthem fee schedule · outpatient · +7 other terms	79	$16	$21	$20	96%	—	$13 – $114
11	Kaiser fee schedule · outpatient · +7 other terms	64	$17	$28	$21	74%	—	$16 – $129
12	Superior Healthplan fee schedule · outpatient	40	$14	$14	$0	0%	—	$13 – $14
13	Clover fee schedule · outpatient · +3 other terms	37	$14	$14	$1	6%	—	$13 – $18
14	Ambetter facility · fee schedule · outpatient · +6 other terms	36	$26	$27	$5	20%	—	$11 – $34
15	Oscar fee schedule · outpatient · +6 other terms	36	$14	$17	$6	34%	—	$13 – $31
16	Optum fee schedule · outpatient · +3 other terms	33	$16	$19	$7	35%	—	$14 – $34
17	Caresource fee schedule · outpatient · +5 other terms	26	$14	$16	$4	25%	—	$14 – $23
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$16	$14	$4	29%	—	$5 – $30
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$17	$17	$1	4%	—	$15 – $17
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$16	$16	$1	4%	—	$14 – $16
21	Bcbs Tx fee schedule · outpatient	18	$13	$13	—	—	—	$13 – $13
22	Medicare fee schedule · outpatient · +3 other terms	18	$16	$16	$0	1%	—	$16 – $16
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$15	$17	$4	25%	—	$8 – $24
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$14	$14	$3	23%	—	$7 – $16
25	Wellmark fee schedule · both · +4 other terms	13	$17	$17	$1	6%	—	$11 – $17

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