Men's orthopedic 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

HB Ortho Ftwear/Male/Deluxe Ea

Payers reporting HCPCS L3221

Payer pricing summary

Low

Average

$233

Median

$195

High

$840

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +12 other terms	51	$628	$540	$295	55%	—	$44 – $855
2	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	40	$299	$350	$342	98%	—	$0 – $1.2k
3	UnitedHealthcare fee schedule · outpatient · +14 other terms	39	$233	$247	$265	107%	—	$31 – $1.1k
4	Aetna fee schedule · outpatient · +13 other terms	35	$134	$331	$280	85%	—	$18 – $1.1k
5	Cigna fee schedule · outpatient · +12 other terms	25	$478	$452	$272	60%	—	$34 – $1.0k
6	MultiPlan fee schedule · outpatient · +12 other terms	22	$645	$650	$279	43%	—	$131 – $1.2k
7	Anthem fee schedule · outpatient · +11 other terms	18	$427	$509	$332	65%	—	$50 – $1.1k
8	Caresource facility · case rate · outpatient · +4 other terms	16	$30	$34	$9	27%	—	$20 – $50
9	Kaiser fee schedule · outpatient · +5 other terms	15	$209	$282	$199	71%	—	$106 – $770
10	Molina facility · case rate · outpatient · +8 other terms	15	$29	$31	$7	23%	—	$20 – $49
11	First Health fee schedule · inpatient · +5 other terms	13	$731	$577	$229	40%	—	$234 – $878
12	Wellmark fee schedule · both · +2 other terms	13	$68	$74	$32	43%	—	$68 – $266
13	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$287	$219	$121	55%	—	$96 – $360
14	Clover facility · percent of total billed charges · outpatientfrom % of charges	12	$25	$23	$7	30%	—	$0 – $25
15	Regence fee schedule · outpatient · +1 other terms	12	$100	$108	$28	26%	—	$78 – $257
16	Medica fee schedule · outpatient · +8 other terms	11	$174	$176	$46	26%	—	$107 – $229
17	Optum facility · case rate · outpatient · +4 other terms	11	$27	$30	$7	22%	—	$24 – $44
18	Highmark fee schedule · outpatient · +2 other terms	10	$196	$196	—	—	—	$196 – $196
19	Aetna Better Health fee schedule · inpatient · +5 other terms	7	$46	$46	—	—	—	$46 – $46
20	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$169	$176	$10	6%	—	$168 – $191
21	Medcost fee schedule · outpatient	3	$545	$543	$28	5%	—	$510 – $572
22	Oscar facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	3	$149	$110	$56	51%	—	$31 – $149
23	WellCare fee schedule · outpatient · +1 other terms	3	$115	$142	$37	26%	—	$115 – $194
24	Amerihealth Caritas percent of total billed charges · bothfrom % of charges · +1 other terms	2	$67	$67	—	—	—	$67 – $67
25	Beechstreet fee schedule · outpatient	2	$548	$548	—	—	—	$548 – $548

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