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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

Prevalon Boot - Small

Payers reporting HCPCS L3230

Payer pricing summary

Low

Average

$261

Median

$185

High

$1.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms	35	$488	$736	$730	99%	2–20	$153 – $3.4k
2	Humana fee schedule · outpatient · +11 other terms	47	$819	$732	$388	53%	—	$58 – $1.1k
3	UnitedHealthcare fee schedule · both · +12 other terms	26	$68	$129	$79	62%	—	$67 – $315
4	Aetna fee schedule · outpatient · +12 other terms	19	$64	$137	$152	111%	—	$58 – $730
5	Anthem facility · fee schedule · outpatient · +8 other terms	18	$130	$376	$256	68%	—	$130 – $904
6	Caresource facility · case rate · outpatient · +2 other terms	16	$30	$43	$32	76%	—	$20 – $130
7	Cigna fee schedule · both · +9 other terms	15	$264	$237	$50	21%	—	$122 – $264
8	Molina facility · case rate · outpatient · +4 other terms	15	$29	$31	$7	23%	—	$20 – $49
9	Wellmark fee schedule · both · +1 other terms	13	$217	$217	—	—	—	$217 – $217
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$597	$449	$256	57%	—	$188 – $747
11	Clover facility · percent of total billed charges · outpatientfrom % of charges	12	$80	$73	$22	30%	—	$1 – $80
12	Regence fee schedule · outpatient · +1 other terms	12	$130	$141	$37	26%	—	$101 – $335
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	$327	$327	—	—	—	$327 – $327
15	Medica fee schedule · outpatient · +6 other terms	10	$231	$231	$59	26%	—	$140 – $298
16	Ucare fee schedule · both · +4 other terms	9	$205	$205	—	—	—	$205 – $205
17	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$59	$59	—	—	—	$59 – $59
18	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$166	$172	$10	6%	—	$165 – $187
19	First Health professional · fee schedule · both · +3 other terms	3	$65	$65	—	—	—	$65 – $65
20	Oscar facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	3	$473	$359	$161	45%	—	$132 – $473
21	Kaiser fee schedule · both · +3 other terms	2	$348	$348	—	—	—	$348 – $348
22	Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$638	$638	—	—	—	$638 – $638
23	Ambetter facility · fee schedule · outpatient	1	$153	$153	—	—	—	$153 – $153
24	Bcbs Id facility · fee schedule · outpatient · +1 other terms	1	$154	$154	—	—	—	$154 – $154
25	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0

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