Men's oxford shoe used as part of a brace

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

Man's shoe oxford brace

Payers reporting HCPCS L3225

Payer pricing summary

Low

$27

Average

$112

Median

$98

High

$391

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +16 other terms	360	$81	$98	$52	53%	—	$39 – $710
2	UnitedHealthcare fee schedule · outpatient · +16 other terms	359	$81	$83	$27	33%	—	$31 – $290
3	Humana fee schedule · outpatient · +15 other terms	319	$81	$122	$127	105%	—	$47 – $609
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	228	$79	$115	$66	57%	—	$0 – $382
5	WellCare fee schedule · outpatient · +6 other terms	208	$82	$86	$15	18%	—	$76 – $163
6	Devoted fee schedule · outpatient · +4 other terms	165	$79	$81	$5	6%	—	$78 – $106
7	Molina fee schedule · outpatient · +8 other terms	139	$117	$112	$42	38%	—	$55 – $208
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$82	$81	$5	6%	—	$78 – $107
9	Cigna fee schedule · outpatient · +14 other terms	103	$90	$97	$34	35%	—	$76 – $266
10	Anthem fee schedule · outpatient · +11 other terms	81	$92	$129	$122	95%	—	$51 – $680
11	Kaiser fee schedule · outpatient · +8 other terms	65	$96	$141	$89	63%	—	$78 – $571
12	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$83	$83	$0	0%	—	$78 – $83
13	Clover fee schedule · outpatient · +3 other terms	37	$82	$82	$4	4%	—	$78 – $104
14	Oscar fee schedule · outpatient · +6 other terms	36	$82	$98	$33	33%	—	$78 – $176
15	Ambetter facility · fee schedule · outpatient · +7 other terms	35	$163	$159	$29	18%	—	$66 – $219
16	Optum fee schedule · outpatient · +4 other terms	33	$90	$109	$39	36%	—	$78 – $198
17	Caresource fee schedule · outpatient · +5 other terms	28	$78	$89	$29	32%	—	$51 – $140
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$93	$86	$23	27%	—	$30 – $160
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$93	$91	$4	5%	—	$80 – $93
20	Bcbs Tx fee schedule · outpatient · +1 other terms	18	$78	$78	—	—	—	$78 – $78
21	Medicare fee schedule · outpatient · +3 other terms	18	$90	$90	$1	1%	—	$90 – $92
22	Regence facility · fee schedule · outpatient · +6 other terms	17	$98	$92	$12	13%	—	$65 – $99
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$91	$104	$26	25%	—	$49 – $143
24	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	14	$189	$189	$15	8%	—	$174 – $204
25	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$83	$82	$19	23%	—	$40 – $97

Page 1 of 3 · 54 payers