Removable silicone gel foot insert

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

Foot insert silicone gel eac

Payers reporting HCPCS L3003

Payer pricing summary

Low

$54

Average

$254

Median

$225

High

$588

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +15 other terms	360	$216	$219	$52	24%	—	$80 – $693
2	Aetna fee schedule · outpatient · +13 other terms	359	$216	$248	$115	46%	—	$107 – $1.4k
3	Humana fee schedule · outpatient · +9 other terms	319	$214	$320	$344	108%	—	$110 – $1.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	222	$220	$296	$191	65%	—	$0 – $1.1k
5	WellCare fee schedule · outpatient · +5 other terms	208	$222	$228	$34	15%	—	$205 – $408
6	Devoted fee schedule · outpatient · +3 other terms	165	$215	$216	$5	2%	—	$208 – $260
7	Molina fee schedule · outpatient · +6 other terms	142	$304	$293	$112	38%	—	$132 – $564
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$220	$219	$8	3%	—	$215 – $263
9	Cigna fee schedule · outpatient · +9 other terms	106	$222	$252	$70	28%	—	$208 – $627
10	Anthem fee schedule · outpatient · +7 other terms	85	$212	$283	$267	94%	—	$104 – $1.6k
11	Kaiser fee schedule · outpatient · +6 other terms	68	$221	$343	$237	69%	—	$173 – $1.5k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	43	$323	$384	$101	26%	—	$155 – $538
13	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$226	$226	$1	0%	—	$211 – $226
14	Clover fee schedule · outpatient · +2 other terms	37	$215	$217	$11	5%	—	$205 – $255
15	Oscar fee schedule · outpatient · +4 other terms	36	$226	$249	$53	21%	—	$211 – $362
16	Optum fee schedule · outpatient · +2 other terms	33	$215	$281	$114	41%	—	$207 – $538
17	Caresource fee schedule · outpatient · +5 other terms	28	$215	$232	$57	25%	—	$140 – $331
18	Medica facility · fee schedule · outpatient · +8 other terms	22	$164	$178	$67	38%	—	$36 – $355
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$225	$216	$17	8%	—	$174 – $229
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$258	$251	$14	6%	—	$213 – $258
21	Bcbs Tx fee schedule · outpatient	18	$211	$211	—	—	—	$211 – $211
22	Medicare fee schedule · outpatient · +1 other terms	18	$208	$209	$2	1%	—	$208 – $212
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$214	$247	$61	25%	—	$117 – $338
24	Tricare facility · fee schedule · outpatient · +2 other terms	14	$209	$208	$6	3%	—	$188 – $212
25	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$195	$195	$45	23%	—	$95 – $228

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