SACH cushion heel 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Brace gel ankle

Payers reporting HCPCS L3450

Payer pricing summary

Low

$33

Average

$143

Median

$133

High

$288

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	363	$131	$150	$69	46%	—	$65 – $847
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	360	$131	$131	$33	25%	—	$5 – $420
3	Humana fee schedule · outpatient · +11 other terms	321	$130	$194	$208	107%	—	$67 – $1.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	212	$133	$160	$77	48%	—	$0 – $628
5	WellCare fee schedule · outpatient · +5 other terms	208	$134	$138	$21	15%	—	$124 – $247
6	Devoted fee schedule · outpatient · +3 other terms	165	$130	$131	$3	2%	—	$126 – $158
7	Molina fee schedule · outpatient · +5 other terms	141	$186	$179	$68	38%	—	$5 – $342
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$133	$133	$5	3%	—	$130 – $159
9	Cigna fee schedule · outpatient · +12 other terms	102	$134	$149	$41	27%	—	$126 – $380
10	Anthem fee schedule · outpatient · +8 other terms	79	$129	$178	$172	97%	—	$124 – $973
11	Kaiser fee schedule · outpatient · +4 other terms	65	$134	$212	$147	69%	—	$126 – $929
12	Superior Healthplan fee schedule · outpatient	40	$137	$137	$1	0%	—	$128 – $137
13	Clover fee schedule · outpatient · +3 other terms	37	$130	$131	$7	5%	—	$124 – $155
14	Oscar fee schedule · outpatient · +6 other terms	36	$137	$151	$32	21%	—	$128 – $219
15	Ambetter facility · fee schedule · outpatient · +6 other terms	33	$233	$246	$59	24%	—	$124 – $326
16	Optum fee schedule · outpatient · +5 other terms	33	$130	$170	$69	41%	—	$125 – $326
17	Caresource fee schedule · outpatient · +4 other terms	26	$130	$149	$29	20%	—	$130 – $200
18	Medica facility · fee schedule · outpatient · +8 other terms	22	$133	$122	$32	26%	—	$43 – $215
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$136	$131	$10	8%	—	$106 – $139
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$156	$152	$9	6%	—	$129 – $156
21	Bcbs Tx fee schedule · outpatient	18	$128	$128	—	—	—	$128 – $128
22	Medicare fee schedule · outpatient · +1 other terms	18	$126	$126	$1	1%	—	$126 – $129
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$130	$149	$37	25%	—	$71 – $205
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$118	$118	$28	23%	—	$57 – $138
25	Wellmark fee schedule · both · +1 other terms	13	$120	$120	$4	3%	—	$94 – $120

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