Foot orthosis add-on charge, split style

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

Orth foot add charge split s

Payers reporting HCPCS L3257

Payer pricing summary

Low

Average

$68

Median

$54

High

$182

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +9 other terms	46	$157	$142	$74	52%	—	$11 – $214
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms	38	$114	$254	$234	92%	—	$39 – $937
3	UnitedHealthcare fee schedule · both · +10 other terms	26	$13	$25	$15	62%	—	$13 – $60
4	Aetna fee schedule · outpatient · +10 other terms	19	$12	$26	$29	111%	—	$11 – $140
5	Anthem facility · case rate · outpatient · +9 other terms	15	$29	$31	$7	23%	—	$20 – $49
6	Caresource facility · case rate · outpatient · +1 other terms	15	$29	$31	$7	23%	—	$20 – $50
7	Cigna fee schedule · both · +9 other terms	15	$51	$44	$12	26%	—	$18 – $51
8	Molina facility · case rate · outpatient · +5 other terms	15	$29	$31	$7	23%	—	$20 – $49
9	Wellmark fee schedule · both · +1 other terms	13	$185	$182	$19	11%	—	$65 – $185
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$198	$149	$84	56%	—	$64 – $248
11	Clover facility · percent of total billed charges · outpatientfrom % of charges	12	$22	$20	$6	30%	—	$0 – $22
12	Regence fee schedule · outpatient · +1 other terms	12	$25	$27	$7	26%	—	$19 – $64
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	$87	$87	—	—	—	$87 – $87
15	Medica fee schedule · outpatient · +6 other terms	10	$44	$44	$11	26%	—	$27 – $57
16	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$11	$11	—	—	—	$11 – $11
17	Kaiser fee schedule · inpatient · +3 other terms	4	$198	$183	$50	28%	—	$101 – $235
18	MultiPlan fee schedule · inpatient · +9 other terms	4	$268	$268	—	—	—	$268 – $268
19	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$6	$6	$0	6%	—	$6 – $7
20	First Health fee schedule · inpatient · +4 other terms	3	$221	$224	$7	3%	—	$218 – $235
21	WellCare facility · percent of total billed charges · outpatientfrom % of charges	3	$54	$54	—	—	—	$54 – $54
22	Magellan fee schedule · outpatient · +1 other terms	2	$151	$151	$51	34%	—	$100 – $201
23	Ambetter facility · fee schedule · outpatient	1	$62	$62	—	—	—	$62 – $62
24	Bcbs Id facility · fee schedule · outpatient	1	$41	$41	—	—	—	$41 – $41
25	Bcbs Il professional · fee schedule · both	1	$65	$65	—	—	—	$65 – $65

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