Ankle brace with air gel padding

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

HB-Visco Gel Toe Spacer per Each

Payers reporting HCPCS L2999

Payer pricing summary

Low

Average

$381

Median

$255

High

$1.8k

Payer rate distribution

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Filter by billing class

#
1	Medical Mutual facility · percent of total billed charges · bothfrom % of charges · +1 other terms	46	$277	$252	$286	113%	—	$25 – $951
2	Regence facility · percent of total billed charges · bothfrom % of charges · +3 other terms	29	$229	$309	$378	122%	—	$1 – $1.6k
3	UnitedHealthcare fee schedule · outpatient · +19 other terms	29	$170	$363	$397	109%	—	$1 – $1.7k
4	Wellmark facility · percent of total billed charges · bothfrom % of charges · +3 other terms	29	$229	$305	$370	121%	—	$1 – $1.6k
5	Oscar facility · percent of total billed charges · bothfrom % of charges · +4 other terms	27	$136	$173	$191	111%	—	$22 – $658
6	Blue Cross Blue Shield facility · fee schedule · outpatient · +19 other terms	25	$75	$226	$220	98%	—	$4 – $573
7	Carefirst facility · percent of total billed charges · bothfrom % of charges · +1 other terms	25	$229	$309	$369	119%	—	$1 – $1.6k
8	Cigna fee schedule · outpatient · +19 other terms	25	$306	$428	$409	96%	—	$13 – $1.4k
9	Highmark facility · percent of total billed charges · bothfrom % of charges · +1 other terms	25	$229	$268	$305	114%	—	$1 – $1.6k
10	Premera facility · percent of total billed charges · bothfrom % of charges · +1 other terms	24	$231	$315	$383	121%	—	$1 – $1.6k
11	MultiPlan fee schedule · outpatient · +13 other terms	22	$376	$587	$527	90%	—	$76 – $2.1k
12	Aetna fee schedule · inpatient · +17 other terms	20	$372	$544	$450	83%	—	$92 – $1.6k
13	Anthem fee schedule · outpatient · +15 other terms	19	$278	$448	$464	103%	—	$9 – $1.6k
14	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +1 other terms	18	$516	$596	$644	108%	—	$32 – $3.1k
15	Caresource facility · case rate · outpatient · +8 other terms	15	$16	$17	$4	21%	—	$10 – $27
16	First Health fee schedule · outpatient · +10 other terms	15	$390	$520	$408	78%	—	$67 – $1.5k
17	Molina facility · case rate · outpatient · +14 other terms	15	$15	$17	$4	21%	—	$11 – $26
18	Sanford Health Plan facility · percent of total billed charges · bothfrom % of charges · +5 other terms	15	$40	$108	$177	163%	—	$36 – $672
19	Kaiser fee schedule · outpatient · +13 other terms	14	$171	$391	$337	86%	—	$46 – $1.3k
20	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	12	$44	$44	$4	8%	—	$41 – $48
21	Clover facility · percent of total billed charges · outpatientfrom % of charges	12	$110	$101	$95	94%	—	$0 – $208
22	Optum facility · case rate · outpatient · +8 other terms	11	$14	$16	$3	20%	—	$13 – $24
23	Bcbs Mn facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	10	$40	$38	$33	87%	—	$2 – $155
24	Ambetter other · outpatient · +5 other terms	8	$404	$401	$24	6%	—	$314 – $426
25	Bcbs Il professional · fee schedule · both	8	$0	$3	$15	468%	—	$0 – $75

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