Orthopedic Oxford shoe with supinator or pronator support

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB Oxford W/ Supinat/Pronator C

Payers reporting HCPCS L3202

Payer pricing summary

Low

Average

$124

Median

$56

High

$1.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +9 other terms	46	$251	$227	$118	52%	—	$18 – $342
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms	37	$60	$152	$158	104%	—	$23 – $531
3	UnitedHealthcare fee schedule · both · +11 other terms	26	$21	$40	$24	62%	—	$20 – $97
4	Aetna fee schedule · outpatient · +11 other terms	21	$19	$40	$45	112%	—	$18 – $224
5	Anthem facility · case rate · outpatient · +5 other terms	15	$29	$31	$7	23%	—	$20 – $49
6	Caresource facility · case rate · outpatient · +4 other terms	15	$29	$31	$7	23%	—	$20 – $50
7	Cigna fee schedule · both · +9 other terms	15	$81	$70	$21	31%	—	$20 – $81
8	Molina facility · case rate · outpatient · +4 other terms	15	$29	$31	$7	23%	—	$20 – $49
9	Wellmark fee schedule · both · +3 other terms	13	$45	$48	$14	30%	—	$45 – $134
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$182	$126	$89	71%	—	$28 – $228
11	Clover facility · percent of total billed charges · outpatientfrom % of charges	12	$20	$19	$6	30%	—	$0 – $20
12	Regence fee schedule · outpatient · +1 other terms	12	$40	$43	$11	26%	—	$31 – $103
13	Optum facility · case rate · outpatient · +2 other terms	11	$27	$30	$7	22%	—	$24 – $44
14	Highmark fee schedule · outpatient · +2 other terms	10	$26	$26	—	—	—	$26 – $26
15	Medica fee schedule · outpatient · +4 other terms	10	$71	$71	$18	26%	—	$43 – $91
16	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$18	$18	—	—	—	$18 – $18
17	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$169	$176	$10	6%	—	$168 – $191
18	First Health professional · fee schedule · both · +4 other terms	3	$20	$20	—	—	—	$20 – $20
19	WellCare facility · percent of total billed charges · outpatientfrom % of charges	3	$51	$51	—	—	—	$51 – $51
20	Devoted facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$186	$186	—	—	—	$186 – $186
21	Excellus fee schedule · outpatient	2	$35	$35	$2	7%	—	$28 – $35
22	Kaiser fee schedule · both · +2 other terms	2	$107	$107	—	—	—	$107 – $107
23	Tricare facility · fee schedule · outpatient	2	$48	$48	—	—	—	$48 – $48
24	Ambetter facility · fee schedule · outpatient · +1 other terms	1	$23	$23	—	—	—	$23 – $23
25	Bcbs Id facility · fee schedule · outpatient · +1 other terms	1	$29	$29	—	—	—	$29 – $29

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