Custom-made ankle brace with straps

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

C CTUO AFO, SUPRAMALLEOLAR WITH STRAPS, WITH/WITHOUT INTERFACE/PADS, CUSTOM (AH PPO)

Payers reporting HCPCS L1907

Payer pricing summary

Low

$175

Average

$808

Median

$727

High

$1.5k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +21 other terms	375	$699	$703	$209	30%	—	$1 – $2.2k
2	Aetna fee schedule · outpatient · +21 other terms	364	$699	$800	$369	46%	—	$346 – $4.5k
3	Humana fee schedule · outpatient · +20 other terms	322	$692	$1.0k	$1.1k	107%	—	$355 – $5.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	230	$709	$902	$464	51%	—	$0 – $3.4k
5	WellCare fee schedule · outpatient · +10 other terms	208	$716	$735	$110	15%	—	$662 – $1.3k
6	Devoted fee schedule · outpatient · +6 other terms	165	$695	$699	$16	2%	—	$672 – $840
7	Molina fee schedule · outpatient · +11 other terms	140	$986	$952	$358	38%	—	$468 – $1.8k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$709	$708	$25	3%	—	$695 – $848
9	Cigna fee schedule · outpatient · +21 other terms	105	$716	$798	$252	32%	—	$434 – $2.2k
10	Anthem fee schedule · outpatient · +11 other terms	80	$685	$944	$915	97%	—	$453 – $5.2k
11	Kaiser fee schedule · outpatient · +8 other terms	64	$713	$1.1k	$779	70%	—	$672 – $5.0k
12	Ambetter facility · fee schedule · outpatient · +9 other terms	46	$1.0k	$1.2k	$321	26%	—	$502 – $1.7k
13	Caresource fee schedule · outpatient · +6 other terms	41	$695	$706	$154	22%	—	$380 – $1.1k
14	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$730	$730	$4	0%	—	$682 – $730
15	Clover fee schedule · outpatient · +3 other terms	37	$695	$700	$37	5%	—	$662 – $824
16	Optum fee schedule · outpatient · +5 other terms	36	$695	$890	$358	40%	—	$667 – $1.7k
17	Oscar fee schedule · outpatient · +7 other terms	36	$730	$803	$170	21%	—	$681 – $1.2k
18	Medica facility · fee schedule · outpatient · +8 other terms	22	$707	$649	$169	26%	—	$231 – $1.1k
19	Regence facility · fee schedule · outpatient · +4 other terms	19	$727	$697	$55	8%	—	$562 – $741
20	Amerihealth Caritas fee schedule · outpatient · +3 other terms	18	$834	$811	$46	6%	—	$688 – $834
21	Bcbs Tx fee schedule · outpatient	18	$682	$682	—	—	—	$682 – $682
22	Medicare fee schedule · outpatient · +5 other terms	18	$672	$674	$5	1%	—	$672 – $685
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$692	$797	$197	25%	—	$376 – $1.1k
24	Tricare facility · fee schedule · outpatient · +2 other terms	15	$675	$671	$18	3%	—	$607 – $685
25	Highmark facility · fee schedule · outpatient · +5 other terms	14	$1.2k	$1.2k	$483	41%	—	$648 – $1.9k

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