Metatarsal bar 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

Shoe metatarsal bar wedge ro

Payers reporting HCPCS L3400

Payer pricing summary

Low

$13

Average

$75

Median

$61

High

$442

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	367	$51	$53	$20	37%	—	$9 – $195
2	Aetna fee schedule · outpatient · +16 other terms	361	$51	$58	$27	46%	—	$20 – $326
3	Humana fee schedule · outpatient · +15 other terms	319	$50	$75	$80	108%	—	$19 – $387
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	222	$51	$65	$35	53%	—	$0 – $240
5	WellCare fee schedule · outpatient · +5 other terms	210	$52	$53	$8	16%	—	$12 – $95
6	Devoted fee schedule · outpatient · +5 other terms	165	$50	$51	$1	2%	—	$49 – $61
7	Molina fee schedule · outpatient · +11 other terms	147	$71	$67	$27	41%	—	$12 – $132
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$51	$51	$2	3%	—	$50 – $61
9	Cigna fee schedule · outpatient · +14 other terms	114	$52	$62	$24	39%	—	$20 – $146
10	Anthem fee schedule · outpatient · +13 other terms	88	$50	$77	$69	90%	—	$9 – $375
11	Kaiser fee schedule · outpatient · +7 other terms	73	$52	$79	$55	70%	—	$9 – $358
12	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$53	$53	$0	0%	—	$49 – $53
13	Clover fee schedule · outpatient · +3 other terms	37	$50	$51	$3	5%	—	$48 – $60
14	Oscar fee schedule · outpatient · +5 other terms	36	$53	$58	$12	21%	—	$49 – $85
15	Ambetter facility · fee schedule · outpatient · +5 other terms	34	$90	$93	$24	26%	—	$36 – $126
16	Optum fee schedule · outpatient · +6 other terms	33	$50	$66	$27	41%	—	$48 – $126
17	Caresource fee schedule · outpatient · +4 other terms	28	$50	$55	$13	24%	—	$26 – $77
18	Medica facility · fee schedule · outpatient · +7 other terms	22	$51	$47	$12	26%	—	$17 – $83
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$60	$59	$3	6%	—	$50 – $60
20	Bcbs Tx fee schedule · outpatient	18	$49	$49	—	—	—	$49 – $49
21	Medicare fee schedule · outpatient · +1 other terms	18	$49	$49	$0	1%	—	$49 – $50
22	Regence facility · fee schedule · outpatient · +6 other terms	17	$53	$51	$4	8%	—	$41 – $54
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$50	$58	$14	25%	—	$27 – $79
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$46	$45	$11	23%	—	$22 – $53
25	Wellmark fee schedule · both · +2 other terms	13	$46	$46	$2	3%	—	$36 – $46

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