Custom silicone shoe molded to foot

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

Shoe molded to pt silicone s

Payers reporting HCPCS L3251

Payer pricing summary

Low

Average

$246

Median

$157

High

$1.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +8 other terms	46	$220	$199	$103	52%	—	$15 – $299
2	UnitedHealthcare fee schedule · both · +7 other terms	26	$18	$35	$21	62%	—	$18 – $85
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	23	$600	$860	$628	73%	—	$250 – $2.5k
4	Aetna fee schedule · outpatient · +9 other terms	19	$17	$37	$41	111%	—	$16 – $196
5	Anthem facility · case rate · outpatient · +6 other terms	15	$53	$58	$14	23%	—	$36 – $90
6	Caresource facility · case rate · outpatient · +1 other terms	15	$54	$58	$13	23%	—	$36 – $92
7	Cigna fee schedule · both · +7 other terms	15	$71	$62	$17	27%	—	$24 – $71
8	Molina facility · case rate · outpatient · +4 other terms	15	$53	$58	$13	23%	—	$37 – $90
9	Wellmark fee schedule · both · +2 other terms	13	$217	$217	—	—	—	$217 – $217
10	Regence fee schedule · outpatient · +1 other terms	12	$35	$38	$10	26%	—	$27 – $90
11	Optum facility · case rate · outpatient · +1 other terms	11	$50	$55	$12	22%	—	$45 – $81
12	Highmark fee schedule · outpatient · +1 other terms	10	$299	$299	—	—	—	$299 – $299
13	Medica fee schedule · outpatient · +4 other terms	10	$62	$62	$16	26%	—	$38 – $80
14	Ucare fee schedule · both · +3 other terms	9	$205	$205	—	—	—	$205 – $205
15	Bcbs Mn fee schedule · both · +1 other terms	8	$205	$205	—	—	—	$205 – $205
16	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$16	$16	—	—	—	$16 – $16
17	Kaiser fee schedule · inpatient · +3 other terms	4	$976	$902	$248	28%	—	$497 – $1.2k
18	MultiPlan fee schedule · inpatient · +7 other terms	4	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
19	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$166	$172	$10	6%	—	$165 – $187
20	First Health fee schedule · inpatient · +4 other terms	3	$1.1k	$1.1k	$36	3%	—	$1.1k – $1.2k
21	Magellan fee schedule · outpatient · +3 other terms	2	$660	$660	$333	50%	—	$327 – $993
22	Bcbs Id professional · fee schedule · outpatient	1	$38	$38	—	—	—	$38 – $38
23	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
24	Bcbs Nc facility · fee schedule · outpatient	1	$110	$110	$126	115%	—	$21 – $288
25	Bcbs Nv fee schedule · outpatient	1	$22	$22	—	—	—	$22 – $22

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