Standard leather heel replacement

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 heel new leather standa

Payers reporting HCPCS L3455

Payer pricing summary

Low

$13

Average

$59

Median

$52

High

$137

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +9 other terms	358	$51	$58	$27	46%	—	$25 – $326
2	UnitedHealthcare fee schedule · outpatient · +9 other terms	355	$51	$51	$12	23%	—	$8 – $162
3	Humana fee schedule · outpatient · +9 other terms	316	$50	$75	$81	107%	—	$26 – $387
4	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	216	$51	$66	$34	52%	—	$0 – $240
5	WellCare fee schedule · outpatient · +4 other terms	208	$52	$53	$8	15%	—	$48 – $95
6	Devoted fee schedule · outpatient · +3 other terms	165	$50	$51	$1	2%	—	$49 – $61
7	Molina fee schedule · outpatient · +4 other terms	137	$72	$69	$26	37%	—	$38 – $132
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$51	$51	$2	3%	—	$50 – $61
9	Cigna fee schedule · outpatient · +6 other terms	102	$52	$57	$16	27%	—	$49 – $146
10	Anthem fee schedule · outpatient · +6 other terms	80	$50	$69	$66	96%	—	$48 – $375
11	Kaiser fee schedule · outpatient · +4 other terms	64	$52	$80	$56	70%	—	$49 – $358
12	Superior Healthplan fee schedule · outpatient	40	$53	$53	$0	0%	—	$49 – $53
13	Clover fee schedule · outpatient · +2 other terms	37	$50	$51	$3	5%	—	$48 – $60
14	Oscar fee schedule · outpatient · +3 other terms	36	$53	$58	$12	21%	—	$49 – $85
15	Ambetter facility · fee schedule · outpatient · +5 other terms	34	$90	$94	$23	24%	—	$48 – $126
16	Optum fee schedule · outpatient · +2 other terms	33	$50	$66	$27	41%	—	$48 – $126
17	Caresource fee schedule · outpatient · +4 other terms	26	$50	$57	$11	20%	—	$50 – $77
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$51	$47	$12	26%	—	$17 – $83
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$53	$50	$4	8%	—	$41 – $54
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$60	$59	$3	6%	—	$50 – $60
21	Bcbs Tx fee schedule · outpatient	18	$49	$49	—	—	—	$49 – $49
22	Medicare fee schedule · outpatient · +1 other terms	18	$49	$49	$0	1%	—	$49 – $50
23	Medical Mutual facility · fee schedule · outpatient · +1 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 · +1 other terms	13	$46	$46	$2	3%	—	$36 – $46

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