Surgical boot for children

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 child

Payers reporting HCPCS L3209

Payer pricing summary

Low

Average

$110

Median

$48

High

$1.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +8 other terms	46	$193	$175	$90	52%	—	$14 – $263
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms	37	$50	$118	$89	75%	—	$22 – $364
3	Aetna fee schedule · outpatient · +10 other terms	27	$19	$31	$32	101%	—	$14 – $172
4	UnitedHealthcare fee schedule · both · +11 other terms	26	$16	$30	$19	62%	—	$16 – $74
5	Anthem facility · case rate · outpatient · +6 other terms	15	$15	$17	$4	23%	—	$10 – $26
6	Caresource facility · case rate · outpatient · +2 other terms	15	$16	$17	$4	23%	—	$10 – $27
7	Cigna fee schedule · both · +10 other terms	15	$62	$54	$16	29%	—	$18 – $62
8	Molina facility · case rate · outpatient · +6 other terms	15	$15	$17	$4	23%	—	$11 – $26
9	Regence fee schedule · outpatient · +2 other terms	15	$31	$38	$14	36%	—	$24 – $79
10	Wellmark fee schedule · both · +3 other terms	13	$11	$12	$5	45%	—	$11 – $45
11	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$159	$119	$68	57%	—	$50 – $199
12	Optum facility · case rate · outpatient	11	$14	$16	$4	22%	—	$13 – $24
13	Highmark fee schedule · outpatient · +1 other terms	10	$19	$19	—	—	—	$19 – $19
14	Medica fee schedule · outpatient · +4 other terms	10	$55	$55	$14	26%	—	$33 – $70
15	Ucare fee schedule · both · +3 other terms	9	$54	$54	—	—	—	$54 – $54
16	Bcbs Il professional · fee schedule · both	8	$11	$14	$21	151%	—	$0 – $45
17	First Health professional · fee schedule · both · +6 other terms	8	$0	$6	$7	129%	—	$0 – $15
18	WellCare professional · fee schedule · both	8	$0	$0	—	—	—	$0 – $0
19	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$14	$14	—	—	—	$14 – $14
20	Medicaid fee schedule · outpatient	7	$48	$52	$11	22%	—	$48 – $82
21	Bcbs Id fee schedule · outpatient · +3 other terms	4	$56	$56	—	—	—	$56 – $56
22	Ambetter professional · fee schedule · both · +1 other terms	3	$0	$0	—	—	—	$0 – $0
23	Amerihealth Caritas professional · fee schedule · outpatient	3	$14	$14	$0	2%	—	$14 – $14
24	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$33	$34	$2	6%	—	$33 – $37
25	MultiPlan professional · fee schedule · both · +6 other terms	3	$0	$14	$20	141%	—	$0 – $43

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