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
MOLDED INNER BOOT
Low
$180
Average
$853
Median
$827
High
$2.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
54 payers; the 90th percentile is 2.9× 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 | UnitedHealthcare fee schedule · outpatient · +19 other terms | 378 | $558 | $630 | $335 | 53% | — | $1 – $2.9k |
| 2 | Aetna fee schedule · outpatient · +19 other terms | 363 | $563 | $651 | $336 | 52% | — | $278 – $4.4k |
| 3 | Humana fee schedule · outpatient · +17 other terms | 323 | $552 | $808 | $831 | 103% | — | $356 – $4.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 225 | $569 | $821 | $594 | 72% | — | $0 – $7.0k |
| 5 | WellCare fee schedule · outpatient · +6 other terms | 209 | $547 | $572 | $114 | 20% | — | $486 – $1.2k |
| 6 | Devoted fee schedule · outpatient · +4 other terms | 165 | $520 | $532 | $24 | 5% | — | $500 – $707 |
| 7 | Molina fee schedule · outpatient · +13 other terms | 144 | $750 | $730 | $280 | 38% | — | $273 – $1.4k |
| 8 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 116 | $544 | $541 | $36 | 7% | — | $520 – $714 |
| 9 | Cigna fee schedule · outpatient · +15 other terms | 110 | $575 | $837 | $604 | 72% | — | $386 – $3.2k |
| 10 | Anthem fee schedule · outpatient · +14 other terms | 84 | $530 | $898 | $869 | 97% | — | $370 – $5.2k |
| 11 | Kaiser fee schedule · outpatient · +11 other terms | 69 | $531 | $927 | $675 | 73% | — | $370 – $3.8k |
| 12 | Ambetter facility · fee schedule · outpatient · +8 other terms | 47 | $985 | $1.1k | $249 | 24% | — | $503 – $1.4k |
| 13 | Caresource fee schedule · outpatient · +7 other terms | 41 | $680 | $663 | $151 | 23% | — | $305 – $1.1k |
| 14 | Superior Healthplan fee schedule · outpatient · +1 other terms | 40 | $546 | $546 | $3 | 0% | — | $510 – $546 |
| 15 | Clover fee schedule · outpatient · +3 other terms | 37 | $588 | $580 | $25 | 4% | — | $546 – $694 |
| 16 | Oscar fee schedule · outpatient · +7 other terms | 36 | $586 | $660 | $211 | 32% | — | $510 – $1.2k |
| 17 | Optum fee schedule · outpatient · +8 other terms | 33 | $558 | $698 | $268 | 38% | — | $500 – $1.3k |
| 18 | Medica facility · fee schedule · outpatient · +9 other terms | 22 | $709 | $632 | $158 | 25% | — | $231 – $941 |
| 19 | Medicare fee schedule · outpatient · +3 other terms | 19 | $500 | $501 | $5 | 1% | — | $486 – $510 |
| 20 | Regence facility · fee schedule · outpatient · +7 other terms | 19 | $541 | $524 | $34 | 7% | — | $434 – $552 |
| 21 | Amerihealth Caritas fee schedule · outpatient · +3 other terms | 18 | $669 | $649 | $43 | 7% | — | $534 – $669 |
| 22 | Bcbs Tx fee schedule · outpatient · +2 other terms | 18 | $510 | $510 | — | — | — | $510 – $510 |
| 23 | Tricare facility · fee schedule · outpatient · +5 other terms | 16 | $523 | $537 | $32 | 6% | — | $510 – $600 |
| 24 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $694 | $794 | $199 | 25% | — | $378 – $1.1k |
| 25 | Highmark facility · fee schedule · outpatient · +8 other terms | 14 | $960 | $930 | $391 | 42% | — | $503 – $1.6k |
← Hospitals reporting HCPCS L2280 · Snapshot 20261111T120946Z-9134e7f7