Men's orthopedic oxford 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

Orthopedic mens shoes oxford

Payers reporting HCPCS L3219

Payer pricing summary

Low

Average

$127

Median

$116

High

$380

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +8 other terms	47	$524	$469	$248	53%	—	$37 – $714
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms	37	$171	$231	$186	80%	—	$44 – $944
3	Aetna fee schedule · outpatient · +9 other terms	28	$77	$176	$185	105%	—	$37 – $565
4	UnitedHealthcare fee schedule · both · +11 other terms	26	$44	$83	$51	62%	—	$43 – $202
5	Anthem facility · fee schedule · outpatient · +6 other terms	17	$93	$155	$64	41%	—	$68 – $261
6	Caresource facility · case rate · outpatient · +3 other terms	16	$30	$39	$21	54%	—	$20 – $93
7	Cigna fee schedule · both · +7 other terms	15	$169	$146	$43	29%	—	$48 – $169
8	Molina facility · case rate · outpatient · +4 other terms	15	$29	$31	$7	23%	—	$20 – $49
9	Wellmark fee schedule · both · +2 other terms	13	$55	$57	$11	20%	—	$55 – $125
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$336	$250	$147	59%	—	$97 – $421
11	Clover facility · percent of total billed charges · outpatientfrom % of charges	12	$25	$23	$7	30%	—	$0 – $25
12	Regence fee schedule · outpatient · +2 other terms	12	$83	$90	$23	26%	—	$65 – $215
13	Optum facility · case rate · outpatient · +2 other terms	11	$27	$30	$7	22%	—	$24 – $44
14	Highmark fee schedule · outpatient · +1 other terms	10	$81	$81	—	—	—	$81 – $81
15	Medica fee schedule · outpatient · +4 other terms	10	$148	$148	$38	26%	—	$90 – $191
16	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	8	$32	$38	$14	36%	—	$23 – $60
17	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$38	$38	—	—	—	$38 – $38
18	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	7	$147	$166	$54	33%	—	$111 – $292
19	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$152	$158	$9	6%	—	$151 – $172
20	First Health professional · fee schedule · both · +3 other terms	3	$42	$42	—	—	—	$42 – $42
21	WellCare facility · percent of total billed charges · outpatientfrom % of charges	3	$62	$62	—	—	—	$62 – $62
22	Kaiser fee schedule · both · +1 other terms	2	$223	$223	—	—	—	$223 – $223
23	Oscar facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$120	$120	—	—	—	$120 – $120
24	Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$162	$162	—	—	—	$162 – $162
25	Tricare facility · fee schedule · outpatient	2	$102	$102	—	—	—	$102 – $102

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