High-top shoe with pronator support for child

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

Hightop w/ supp/pronator chi

Payers reporting HCPCS L3206

Payer pricing summary

Low

Average

$112

Median

$51

High

$1.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +8 other terms	46	$254	$230	$119	52%	—	$18 – $345
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms	36	$64	$155	$128	83%	—	$43 – $442
3	UnitedHealthcare fee schedule · both · +9 other terms	26	$21	$40	$25	62%	—	$21 – $98
4	Aetna fee schedule · outpatient · +9 other terms	19	$20	$43	$47	111%	—	$18 – $226
5	Anthem facility · case rate · outpatient · +4 other terms	15	$29	$31	$7	23%	—	$20 – $49
6	Caresource facility · case rate · outpatient · +2 other terms	15	$29	$31	$7	23%	—	$20 – $50
7	Cigna fee schedule · both · +8 other terms	15	$82	$70	$22	31%	—	$20 – $82
8	Molina facility · case rate · outpatient · +3 other terms	15	$29	$31	$7	23%	—	$20 – $49
9	Wellmark fee schedule · both · +3 other terms	13	$45	$46	$7	15%	—	$45 – $89
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$183	$138	$78	57%	—	$58 – $229
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	$44	$11	26%	—	$31 – $104
13	Optum facility · case rate · outpatient · +1 other terms	11	$27	$30	$7	22%	—	$24 – $44
14	Highmark fee schedule · outpatient · +1 other terms	10	$44	$44	—	—	—	$44 – $44
15	Medica fee schedule · outpatient · +4 other terms	10	$72	$72	$18	26%	—	$43 – $92
16	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$18	$18	—	—	—	$18 – $18
17	Amerihealth Caritas professional · fee schedule · outpatient	3	$0	$0	—	—	—	$0 – $0
18	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$169	$176	$10	6%	—	$168 – $191
19	First Health professional · fee schedule · both · +2 other terms	3	$20	$20	—	—	—	$20 – $20
20	WellCare facility · percent of total billed charges · outpatientfrom % of charges	3	$51	$51	—	—	—	$51 – $51
21	Kaiser fee schedule · both · +1 other terms	2	$109	$109	—	—	—	$109 – $109
22	Bcbs Id facility · fee schedule · outpatient	1	$34	$34	—	—	—	$34 – $34
23	Bcbs Il professional · fee schedule · both	1	$89	$89	—	—	—	$89 – $89
24	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
25	Bcbs Nc facility · fee schedule · outpatient	1	$36	$36	$17	47%	—	$24 – $60

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