Children's high-top shoe with 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-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 jun

Payers reporting HCPCS L3207

Payer pricing summary

Low

Average

$121

Median

$54

High

$1.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +8 other terms	46	$258	$234	$121	52%	—	$18 – $352
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	27	$144	$191	$138	72%	—	$42 – $498
3	UnitedHealthcare fee schedule · both · +7 other terms	26	$22	$41	$25	62%	—	$21 – $99
4	Aetna fee schedule · outpatient · +7 other terms	19	$20	$43	$48	111%	—	$18 – $230
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 · +5 other terms	15	$83	$72	$22	31%	—	$20 – $83
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 – $90
10	Regence fee schedule · outpatient · +1 other terms	12	$41	$44	$12	26%	—	$32 – $106
11	Optum facility · case rate · outpatient	11	$27	$30	$7	22%	—	$24 – $44
12	Highmark fee schedule · outpatient · +1 other terms	10	$50	$50	—	—	—	$50 – $50
13	Medica fee schedule · outpatient · +4 other terms	10	$73	$73	$19	26%	—	$44 – $94
14	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$19	$19	—	—	—	$19 – $19
15	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$169	$176	$10	6%	—	$168 – $191
16	First Health professional · fee schedule · both · +2 other terms	3	$21	$21	—	—	—	$21 – $21
17	Kaiser fee schedule · both · +1 other terms	2	$110	$110	—	—	—	$110 – $110
18	Bcbs Id facility · fee schedule · outpatient · +1 other terms	1	$32	$32	—	—	—	$32 – $32
19	Bcbs Il professional · fee schedule · both	1	$90	$90	—	—	—	$90 – $90
20	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
21	Bcbs Nc facility · fee schedule · outpatient	1	$33	$33	$12	37%	—	$24 – $50
22	Bcbs Nv fee schedule · outpatient	1	$26	$26	—	—	—	$26 – $26
23	Bcbs Vt professional · fee schedule · outpatient	1	$28	$28	—	—	—	$28 – $28
24	Healthpartners facility · fee schedule · outpatient	1	$126	$126	—	—	—	$126 – $126
25	Magellan fee schedule · outpatient · +2 other terms	1	$76	$76	—	—	—	$76 – $76

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