Infant surgical boot

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

Surgical boot each infant

Payers reporting HCPCS L3208

Payer pricing summary

Low

Average

$91

Median

$37

High

$1.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +7 other terms	46	$135	$122	$63	52%	—	$10 – $184
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms	37	$50	$95	$87	91%	—	$20 – $308
3	UnitedHealthcare fee schedule · both · +11 other terms	26	$11	$21	$13	62%	—	$11 – $52
4	Aetna fee schedule · outpatient · +10 other terms	19	$11	$23	$25	111%	—	$10 – $121
5	Anthem facility · case rate · outpatient · +4 other terms	15	$15	$17	$4	23%	—	$10 – $26
6	Caresource facility · case rate · outpatient · +1 other terms	15	$16	$17	$4	23%	—	$10 – $27
7	Cigna fee schedule · both · +8 other terms	15	$44	$38	$10	25%	—	$18 – $44
8	Molina facility · case rate · outpatient · +4 other terms	15	$15	$17	$4	23%	—	$11 – $26
9	Wellmark fee schedule · both · +3 other terms	13	$12	$13	$9	66%	—	$12 – $65
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$159	$116	$68	59%	—	$50 – $199
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	$21	$23	$6	26%	—	$17 – $55
13	Optum facility · case rate · outpatient · +1 other terms	11	$14	$16	$4	22%	—	$13 – $24
14	Highmark fee schedule · outpatient · +1 other terms	10	$19	$19	—	—	—	$19 – $19
15	Medica fee schedule · outpatient · +5 other terms	10	$38	$38	$10	26%	—	$23 – $49
16	Ucare fee schedule · both · +5 other terms	9	$54	$54	—	—	—	$54 – $54
17	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$10	$10	—	—	—	$10 – $10
18	Amerihealth Caritas professional · fee schedule · outpatient	3	$14	$14	$0	2%	—	$14 – $14
19	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$33	$34	$2	6%	—	$33 – $37
20	First Health professional · fee schedule · both · +4 other terms	3	$11	$11	—	—	—	$11 – $11
21	WellCare facility · percent of total billed charges · outpatientfrom % of charges	3	$51	$51	—	—	—	$51 – $51
22	Ambetter percent of total billed charges · outpatientfrom % of charges	2	$69	$69	—	—	—	$69 – $69
23	Kaiser fee schedule · both · +1 other terms	2	$57	$57	—	—	—	$57 – $57
24	Bcbs Id professional · fee schedule · outpatient	1	$23	$23	—	—	—	$23 – $23
25	Bcbs Il professional · fee schedule · both	1	$65	$65	—	—	—	$65 – $65

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