Full sole and heel wedge, between sole layers

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 Wedge/Full Sole/Internal

Payers reporting HCPCS L3420

Payer pricing summary

Low

$17

Average

$85

Median

$73

High

$381

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +15 other terms	369	$68	$80	$44	54%	—	$18 – $439
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	368	$68	$69	$20	28%	—	$15 – $221
3	Humana fee schedule · outpatient · +13 other terms	319	$67	$101	$108	107%	—	$16 – $520
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	221	$69	$88	$46	52%	—	$0 – $325
5	WellCare fee schedule · outpatient · +5 other terms	208	$70	$71	$11	15%	—	$64 – $128
6	Devoted fee schedule · outpatient · +3 other terms	165	$68	$68	$2	2%	—	$65 – $82
7	Molina fee schedule · outpatient · +6 other terms	142	$95	$91	$36	39%	—	$15 – $177
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$69	$69	$2	3%	—	$68 – $82
9	Cigna fee schedule · outpatient · +11 other terms	113	$70	$76	$26	34%	—	$41 – $197
10	Anthem fee schedule · outpatient · +8 other terms	80	$67	$97	$91	94%	—	$64 – $504
11	Kaiser fee schedule · outpatient · +6 other terms	72	$69	$115	$76	66%	—	$15 – $482
12	Ambetter facility · fee schedule · outpatient · +5 other terms	42	$114	$121	$32	26%	—	$49 – $169
13	Superior Healthplan fee schedule · outpatient	40	$71	$71	$0	0%	—	$66 – $71
14	Clover fee schedule · outpatient · +2 other terms	37	$68	$68	$4	5%	—	$64 – $80
15	Oscar fee schedule · outpatient · +6 other terms	36	$71	$78	$17	21%	—	$66 – $114
16	Optum fee schedule · outpatient · +4 other terms	34	$68	$86	$37	43%	—	$15 – $169
17	Caresource fee schedule · outpatient · +4 other terms	26	$68	$77	$15	20%	—	$68 – $104
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$69	$63	$17	26%	—	$22 – $111
19	Regence fee schedule · outpatient · +4 other terms	19	$63	$65	$14	21%	—	$15 – $94
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$81	$79	$4	6%	—	$67 – $81
21	Bcbs Tx fee schedule · outpatient	18	$66	$66	—	—	—	$66 – $66
22	Medicare fee schedule · outpatient · +3 other terms	18	$65	$66	$1	1%	—	$65 – $67
23	Premera fee schedule · outpatient · +1 other terms	16	$83	$98	$22	22%	—	$15 – $138
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$67	$77	$19	25%	—	$37 – $106
25	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$61	$61	$14	23%	—	$30 – $72

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