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
Grad com garment toe caps
Low
$45
Average
$124
Median
$111
High
$244
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.0× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +9 other terms | 345 | $106 | $119 | $56 | 47% | — | $60 – $698 |
| 2 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 337 | $106 | $106 | $23 | 21% | — | $62 – $349 |
| 3 | Humana fee schedule · outpatient · +8 other terms | 313 | $104 | $110 | $38 | 34% | — | $49 – $420 |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 215 | $108 | $111 | $17 | 15% | — | $101 – $204 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 197 | $107 | $131 | $51 | 39% | — | $0 – $492 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $105 | $106 | $2 | 2% | — | $102 – $112 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 135 | $155 | $145 | $54 | 37% | — | $79 – $275 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $107 | $107 | $3 | 3% | — | $105 – $114 |
| 9 | Cigna fee schedule · outpatient · +6 other terms | 97 | $108 | $120 | $35 | 29% | — | $67 – $304 |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $103 | $146 | $145 | 99% | — | $102 – $788 |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 61 | $107 | $166 | $124 | 75% | — | $102 – $782 |
| 12 | Clover fee schedule · outpatient · +2 other terms | 41 | $109 | $107 | $3 | 3% | — | $102 – $110 |
| 13 | Ambetter facility · fee schedule · outpatient · +5 other terms | 40 | $178 | $190 | $48 | 25% | — | $73 – $261 |
| 14 | Superior Healthplan fee schedule · outpatient | 40 | $110 | $110 | $1 | 1% | — | $102 – $110 |
| 15 | Caresource fee schedule · outpatient · +7 other terms | 36 | $106 | $122 | $25 | 20% | — | $104 – $162 |
| 16 | Oscar fee schedule · outpatient · +4 other terms | 35 | $110 | $120 | $26 | 21% | — | $103 – $179 |
| 17 | Optum fee schedule · outpatient · +2 other terms | 33 | $105 | $138 | $55 | 40% | — | $101 – $263 |
| 18 | Bcbs Tx fee schedule · outpatient | 31 | $109 | $113 | $34 | 30% | — | $84 – $417 |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 23 | $103 | $103 | $0 | 0% | — | $103 – $103 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $126 | $123 | $6 | 5% | — | $107 – $126 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $109 | $107 | $6 | 6% | — | $87 – $111 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $105 | $121 | $31 | 25% | — | $57 – $166 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $105 | $100 | $5 | 5% | — | $94 – $105 |
| 24 | Wellmark fee schedule · both · +1 other terms | 13 | $92 | $92 | $0 | 0% | — | $89 – $92 |
| 25 | Aetna Better Health fee schedule · outpatient · +3 other terms | 12 | $50 | $72 | $26 | 36% | — | $50 – $102 |
← Hospitals reporting HCPCS A6572 · Snapshot 20261112T124536Z-e251e855