Benesch boot pair 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

Benesch boot pair child

Payers reporting HCPCS L3213

Payer pricing summary

Low

Average

$74

Median

$63

High

$229

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +6 other terms	46	$345	$313	$162	52%	—	$24 – $470
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	26	$126	$180	$125	69%	—	$39 – $562
3	UnitedHealthcare fee schedule · both · +7 other terms	26	$29	$54	$33	62%	—	$28 – $133
4	Aetna fee schedule · outpatient · +5 other terms	19	$27	$58	$64	111%	—	$25 – $308
5	Anthem facility · case rate · outpatient · +4 other terms	15	$29	$31	$7	23%	—	$20 – $49
6	Caresource facility · case rate · outpatient · +1 other terms	15	$29	$31	$7	23%	—	$20 – $50
7	Cigna fee schedule · both · +3 other terms	15	$111	$96	$28	30%	—	$31 – $111
8	Molina facility · case rate · outpatient · +2 other terms	15	$29	$31	$7	23%	—	$20 – $49
9	Wellmark fee schedule · both · +1 other terms	13	$45	$46	$5	10%	—	$45 – $75
10	Regence fee schedule · outpatient · +1 other terms	12	$55	$59	$15	26%	—	$43 – $141
11	Optum facility · case rate · outpatient	11	$27	$30	$7	22%	—	$24 – $44
12	Highmark fee schedule · outpatient · +1 other terms	10	$24	$24	—	—	—	$24 – $24
13	Medica fee schedule · outpatient · +4 other terms	10	$97	$98	$25	26%	—	$59 – $126
14	Ucare fee schedule · both · +3 other terms	9	$109	$109	—	—	—	$109 – $109
15	Bcbs Mn fee schedule · both · +1 other terms	8	$109	$109	—	—	—	$109 – $109
16	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$25	$25	—	—	—	$25 – $25
17	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$169	$176	$10	6%	—	$168 – $191
18	First Health professional · fee schedule · both	3	$28	$28	—	—	—	$28 – $28
19	Kaiser fee schedule · both · +1 other terms	2	$146	$146	—	—	—	$146 – $146
20	Bcbs Id professional · fee schedule · outpatient	1	$60	$60	—	—	—	$60 – $60
21	Bcbs Il professional · fee schedule · both	1	$75	$75	—	—	—	$75 – $75
22	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
23	Bcbs Nc facility · fee schedule · outpatient	1	$38	$38	$8	21%	—	$33 – $50
24	Bcbs Nv fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
25	Bcbs Vt professional · fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37

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