Orthopedic ladies' depth shoes

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

ORTHOPED LADIES SHOES DPTH I

Payers reporting HCPCS L3216

Payer pricing summary

Low

Average

$127

Median

$105

High

$337

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +9 other terms	49	$565	$487	$276	57%	—	$38 – $770
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +11 other terms	37	$145	$269	$240	89%	—	$33 – $1.0k
3	Aetna fee schedule · outpatient · +12 other terms	33	$69	$182	$177	97%	—	$18 – $610
4	UnitedHealthcare fee schedule · outpatient · +12 other terms	33	$48	$179	$179	100%	—	$1 – $750
5	Anthem facility · fee schedule · outpatient · +10 other terms	17	$38	$130	$90	69%	—	$38 – $301
6	Cigna fee schedule · outpatient · +11 other terms	17	$367	$318	$150	47%	—	$34 – $555
7	Caresource facility · case rate · outpatient · +3 other terms	16	$30	$32	$7	22%	—	$20 – $50
8	Molina facility · case rate · outpatient · +7 other terms	15	$29	$31	$7	23%	—	$20 – $49
9	MultiPlan fee schedule · outpatient · +11 other terms	15	$476	$453	$168	37%	—	$85 – $690
10	Wellmark fee schedule · both · +3 other terms	13	$53	$58	$33	56%	—	$53 – $256
11	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$97	$74	$41	55%	—	$33 – $122
12	Clover facility · percent of total billed charges · outpatientfrom % of charges	12	$25	$23	$7	30%	—	$0 – $25
13	Regence fee schedule · outpatient · +2 other terms	12	$90	$97	$25	26%	—	$70 – $231
14	Kaiser fee schedule · outpatient · +3 other terms	11	$356	$273	$153	56%	—	$79 – $593
15	Medica fee schedule · outpatient · +9 other terms	11	$157	$159	$41	26%	—	$97 – $206
16	Medical Mutual facility · percent of total billed charges · bothfrom % of charges	11	$152	$111	$66	60%	—	$3 – $152
17	Optum facility · case rate · outpatient · +3 other terms	11	$27	$30	$7	22%	—	$24 – $44
18	Highmark fee schedule · outpatient · +2 other terms	10	$158	$158	—	—	—	$158 – $158
19	First Health fee schedule · inpatient · +5 other terms	9	$563	$476	$121	26%	—	$286 – $675
20	Sanford Health Plan facility · percent of total billed charges · bothfrom % of charges · +2 other terms	8	$155	$154	$1	1%	—	$152 – $155
21	Ucare facility · percent of total billed charges · bothfrom % of charges · +1 other terms	8	$79	$77	$43	56%	—	$33 – $141
22	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$41	$41	—	—	—	$41 – $41
23	Oscar facility · percent of total billed charges · bothfrom % of charges · +2 other terms	7	$152	$152	—	—	—	$152 – $152
24	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$157	$164	$10	6%	—	$156 – $177
25	Carefirst facility · percent of total billed charges · bothfrom % of charges	3	$1	$1	$0	1%	—	$1 – $1

Page 1 of 2 · 43 payers