Outflare wedge shoe insert

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

HB Shoe Outflare Wedge

Payers reporting HCPCS L3390

Payer pricing summary

Low

$15

Average

$79

Median

$69

High

$225

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +14 other terms	363	$62	$63	$18	28%	—	$27 – $231
2	Aetna fee schedule · outpatient · +14 other terms	361	$62	$73	$39	53%	—	$31 – $398
3	Humana fee schedule · outpatient · +13 other terms	318	$61	$92	$98	107%	—	$31 – $471
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	218	$63	$82	$45	55%	—	$0 – $292
5	WellCare fee schedule · outpatient · +7 other terms	209	$63	$65	$10	15%	—	$58 – $116
6	Devoted fee schedule · outpatient · +5 other terms	165	$61	$62	$1	2%	—	$59 – $74
7	Molina fee schedule · outpatient · +5 other terms	139	$87	$84	$32	38%	—	$35 – $161
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$63	$62	$2	3%	—	$61 – $75
9	Cigna fee schedule · outpatient · +12 other terms	106	$63	$72	$25	35%	—	$38 – $204
10	Anthem fee schedule · outpatient · +10 other terms	79	$60	$84	$81	97%	—	$58 – $457
11	Kaiser fee schedule · outpatient · +4 other terms	64	$63	$98	$69	70%	—	$59 – $436
12	Superior Healthplan fee schedule · outpatient	40	$64	$64	$0	0%	—	$60 – $64
13	Clover fee schedule · outpatient · +3 other terms	37	$61	$62	$3	5%	—	$58 – $73
14	Oscar fee schedule · outpatient · +5 other terms	36	$64	$71	$15	21%	—	$60 – $103
15	Ambetter facility · fee schedule · outpatient · +5 other terms	34	$110	$114	$29	26%	—	$44 – $153
16	Optum fee schedule · outpatient · +4 other terms	34	$61	$81	$33	41%	—	$59 – $153
17	Caresource fee schedule · outpatient · +4 other terms	27	$61	$73	$19	26%	—	$61 – $137
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$62	$57	$15	26%	—	$20 – $101
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$74	$72	$4	6%	—	$61 – $74
20	Bcbs Tx fee schedule · outpatient	18	$60	$60	—	—	—	$60 – $60
21	Medicare fee schedule · outpatient · +1 other terms	18	$59	$59	$0	1%	—	$59 – $60
22	Regence facility · fee schedule · outpatient · +6 other terms	17	$64	$62	$5	8%	—	$50 – $65
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$61	$70	$17	25%	—	$33 – $96
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$55	$55	$13	23%	—	$27 – $65
25	Wellmark fee schedule · both · +2 other terms	13	$56	$56	$2	3%	—	$44 – $56

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