Benesch boot, junior pair

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 junior

Payers reporting HCPCS L3214

Payer pricing summary

Low

Average

$81

Median

$70

High

$243

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +6 other terms	46	$367	$332	$172	52%	—	$26 – $500
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	26	$161	$227	$159	70%	—	$44 – $650
3	UnitedHealthcare fee schedule · both · +7 other terms	26	$31	$58	$36	62%	—	$30 – $141
4	Aetna fee schedule · outpatient · +5 other terms	19	$29	$62	$68	111%	—	$26 – $327
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	$118	$102	$30	30%	—	$32 – $118
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	$47	$9	19%	—	$45 – $100
10	Regence fee schedule · outpatient · +1 other terms	12	$58	$63	$16	26%	—	$45 – $150
11	Optum facility · case rate · outpatient	11	$27	$30	$7	22%	—	$24 – $44
12	Medica fee schedule · outpatient · +4 other terms	10	$104	$104	$27	26%	—	$63 – $134
13	Ucare fee schedule · both · +3 other terms	9	$109	$109	—	—	—	$109 – $109
14	Bcbs Mn fee schedule · both · +1 other terms	8	$109	$109	—	—	—	$109 – $109
15	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$27	$27	—	—	—	$27 – $27
16	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$169	$176	$10	6%	—	$168 – $191
17	First Health professional · fee schedule · both	3	$29	$29	—	—	—	$29 – $29
18	Kaiser fee schedule · both · +1 other terms	2	$156	$156	—	—	—	$156 – $156
19	Bcbs Id professional · fee schedule · outpatient	1	$64	$64	—	—	—	$64 – $64
20	Bcbs Il professional · fee schedule · both	1	$100	$100	—	—	—	$100 – $100
21	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
22	Bcbs Nc facility · fee schedule · outpatient	1	$41	$41	$10	23%	—	$35 – $55
23	Bcbs Nv fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37
24	Bcbs Vt professional · fee schedule · outpatient	1	$39	$39	—	—	—	$39 – $39
25	Healthpartners facility · fee schedule · outpatient	1	$179	$179	—	—	—	$179 – $179

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