Removable premolded arch support for the foot

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; ARCH SUPPORT; REMOVABLE; PREMOLDED; LONGITUDINAL/ METATARSAL; EACH

Payers reporting HCPCS L3060

Payer pricing summary

Low

$29

Average

$91

Median

$86

High

$201

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	370	$92	$95	$57	60%	—	$1 – $732
2	Aetna fee schedule · outpatient · +18 other terms	362	$92	$108	$58	54%	—	$45 – $591
3	Humana fee schedule · outpatient · +18 other terms	322	$91	$132	$141	107%	—	$47 – $701
4	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	234	$93	$117	$61	52%	—	$0 – $439
5	WellCare fee schedule · outpatient · +11 other terms	209	$94	$96	$14	15%	—	$87 – $173
6	Devoted fee schedule · outpatient · +4 other terms	165	$91	$92	$2	2%	—	$88 – $110
7	Molina fee schedule · outpatient · +13 other terms	143	$129	$118	$48	40%	—	$53 – $239
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$93	$93	$3	3%	—	$91 – $111
9	Cigna fee schedule · outpatient · +21 other terms	109	$94	$108	$59	55%	—	$57 – $756
10	Anthem fee schedule · outpatient · +16 other terms	86	$90	$120	$110	92%	—	$60 – $680
11	Kaiser fee schedule · outpatient · +11 other terms	68	$93	$181	$134	74%	—	$77 – $649
12	Ambetter facility · fee schedule · outpatient · +12 other terms	44	$154	$164	$42	26%	—	$66 – $228
13	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$96	$96	$0	0%	—	$89 – $96
14	Clover fee schedule · outpatient · +3 other terms	37	$91	$92	$5	5%	—	$87 – $108
15	Oscar fee schedule · outpatient · +6 other terms	36	$96	$105	$22	21%	—	$89 – $153
16	Optum fee schedule · outpatient · +6 other terms	33	$91	$119	$48	41%	—	$87 – $228
17	Caresource fee schedule · outpatient · +12 other terms	26	$91	$104	$21	20%	—	$91 – $140
18	Carefirst facility · percent of total billed charges · bothfrom % of charges	25	$23	$29	$20	69%	—	$1 – $75
19	Medica facility · fee schedule · outpatient · +11 other terms	22	$81	$79	$25	31%	—	$21 – $150
20	Amerihealth Caritas fee schedule · outpatient · +4 other terms	18	$109	$106	$6	6%	—	$90 – $109
21	Bcbs Tx fee schedule · outpatient	18	$89	$89	—	—	—	$89 – $89
22	Medicare fee schedule · outpatient · +3 other terms	18	$88	$88	$1	1%	—	$88 – $90
23	Regence facility · fee schedule · outpatient · +9 other terms	18	$95	$92	$7	7%	—	$74 – $97
24	Medical Mutual facility · fee schedule · outpatient · +7 other terms	15	$91	$104	$26	25%	—	$49 – $143
25	Tricare facility · fee schedule · outpatient · +9 other terms	15	$88	$87	$4	4%	—	$77 – $90

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