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.
Original text from hospital filings
ORTHOTIC AND PROSTHETIC SUPPLY, ACCESSORY, AND/OR SERVICE COMPONENT OF ANOTHER HCPCS "L" CODE
Low
$0
Average
$1.2k
Median
$539
High
$7.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
49 payers; the 90th percentile is 53.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Medical Mutual facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 31 | $692 | $643 | $191 | 30% | — | $33 – $976 |
| 2 | Aetna fee schedule · outpatient · +14 other terms | 28 | $91 | $143 | $70 | 49% | — | $60 – $437 |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +19 other terms | 26 | $80 | $2.5k | $10.5k | 413% | — | $0 – $53.7k |
| 4 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 22 | $524 | $8.3k | $14.6k | 175% | — | $0 – $52.4k |
| 5 | Medicaid fee schedule · outpatient · +5 other terms | 16 | $604 | $662 | $829 | 125% | — | $1 – $2.5k |
| 6 | Anthem facility · case rate · outpatient · +15 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 7 | Caresource facility · case rate · outpatient · +10 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 8 | Medcost facility · percent of total billed charges · bothfrom % of charges · +2 other terms | 15 | $509 | $602 | $143 | 24% | — | $416 – $814 |
| 9 | Molina facility · case rate · outpatient · +10 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 10 | Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 12 | $353 | $353 | $330 | 93% | — | $17 – $1.4k |
| 11 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 12 | $42 | $38 | $37 | 98% | — | $0 – $105 |
| 12 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 12 | $121 | $126 | $128 | 102% | — | $4 – $834 |
| 13 | Cigna fee schedule · outpatient · +16 other terms | 11 | $1 | $6.4k | $14.1k | 220% | — | $1 – $54.2k |
| 14 | Humana fee schedule · outpatient · +10 other terms | 11 | $1 | $37 | $34 | 91% | — | $1 – $68 |
| 15 | Optum facility · case rate · outpatient · +8 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 16 | Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +5 other terms | 11 | $17 | $20 | $21 | 108% | — | $5 – $139 |
| 17 | Highmark fee schedule · outpatient · +8 other terms | 10 | $975 | $975 | — | — | — | $975 – $975 |
| 18 | Ucare percent of total billed charges · outpatientfrom % of charges · +2 other terms | 8 | $119 | $117 | $5 | 5% | — | $95 – $119 |
| 19 | Aetna Better Health fee schedule · inpatient · +4 other terms | 7 | $70 | $70 | — | — | — | $70 – $70 |
| 20 | Cigna Healthspring percent of total billed charges · outpatientfrom % of charges · +1 other terms | 7 | $2.7k | $3.0k | $1.5k | 51% | — | $1.3k – $5.9k |
| 21 | MultiPlan fee schedule · inpatient · +9 other terms | 7 | $1 | $22 | $32 | 143% | — | $1 – $88 |
| 22 | Ambetter other · outpatient · +6 other terms | 6 | $182 | $182 | — | — | — | $182 – $182 |
| 23 | Amerihealth Caritas other · outpatient · +4 other terms | 6 | $183 | $183 | — | — | — | $183 – $183 |
| 24 | First Health fee schedule · inpatient · +10 other terms | 6 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Kaiser fee schedule · outpatient · +10 other terms | 6 | $718 | $880 | $920 | 105% | — | $30 – $2.5k |
← Hospitals reporting HCPCS L9900 · Snapshot 20261111T120946Z-9134e7f7