Cast boot, large unisex, 11.5 inches

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

HC SHOE SURG WN SML DARCO 4-6

Payers reporting HCPCS L3260

Payer pricing summary

Low

Average

$69

Median

$59

High

$383

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	WellCare facility · other · outpatient · +13 other terms	8	$92	$205	$572	279%	7–70	$0 – $4.0k
2	Anthem fee schedule · outpatient · +21 other terms	38	$46	$32	$75	232%	1–10	$1 – $569
3	Oscar facility · other · outpatient · +7 other terms	8	$1.3k	$3.4k	$3.2k	95%	1–10	$11 – $9.9k
4	UnitedHealthcare fee schedule · outpatient · +28 other terms	104	$51	$93	$122	132%	—	$1 – $751
5	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	66	$42	$53	$91	172%	—	$0 – $829
6	Aetna fee schedule · outpatient · +25 other terms	62	$25	$75	$61	81%	—	$4 – $639
7	Humana fee schedule · outpatient · +18 other terms	61	$89	$53	$47	90%	—	$5 – $176
8	MultiPlan fee schedule · inpatient · +17 other terms	56	$135	$166	$185	111%	—	$5 – $780
9	Cigna fee schedule · outpatient · +24 other terms	48	$75	$134	$168	125%	—	$1 – $663
10	Kaiser fee schedule · outpatient · +16 other terms	30	$82	$109	$127	117%	—	$5 – $683
11	Medcost facility · percent of total billed charges · bothfrom % of charges · +6 other terms	30	$22	$21	$13	59%	—	$3 – $58
12	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$12	$12	$3	26%	—	$8 – $17
13	First Health fee schedule · outpatient · +14 other terms	26	$85	$146	$178	122%	—	$16 – $683
14	Regence fee schedule · outpatient · +7 other terms	25	$15	$21	$8	39%	—	$11 – $43
15	Molina fee schedule · outpatient · +14 other terms	21	$82	$91	$93	101%	—	$13 – $610
16	Medica fee schedule · outpatient · +15 other terms	20	$43	$40	$39	98%	—	$15 – $169
17	Medicaid fee schedule · outpatient · +7 other terms	16	$194	$196	$231	118%	—	$1 – $610
18	Caresource fee schedule · outpatient · +13 other terms	15	$90	$89	$15	16%	—	$21 – $122
19	Aetna Better Health fee schedule · outpatient · +8 other terms	14	$7	$12	$15	123%	—	$6 – $52
20	Wellmark fee schedule · both · +16 other terms	13	$17	$18	$8	41%	—	$17 – $65
21	Bcbs Mn fee schedule · outpatient · +10 other terms	12	$32	$28	$13	45%	—	$10 – $40
22	Bcbs Nj fee schedule · outpatient · +3 other terms	12	$154	$193	$72	37%	—	$133 – $360
23	Phcs fee schedule · inpatient · +11 other terms	12	$154	$133	$48	36%	—	$26 – $160
24	Bcbs Nc fee schedule · both · +1 other terms	11	$8	$8	$1	10%	—	$7 – $9
25	Highmark fee schedule · outpatient · +12 other terms	11	$44	$46	$8	18%	—	$44 – $88

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