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.
Original text from hospital filings
O shoe add instep extension
Low
$27
Average
$123
Median
$109
High
$288
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +9 other terms | 358 | $106 | $121 | $56 | 46% | — | $52 – $684 |
| 2 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 355 | $106 | $106 | $25 | 23% | — | $46 – $339 |
| 3 | Humana fee schedule · outpatient · +9 other terms | 316 | $105 | $157 | $169 | 107% | — | $54 – $810 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 216 | $107 | $138 | $72 | 52% | — | $0 – $507 |
| 5 | WellCare fee schedule · outpatient · +4 other terms | 208 | $108 | $111 | $17 | 15% | — | $100 – $200 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $105 | $106 | $2 | 2% | — | $102 – $127 |
| 7 | Molina fee schedule · outpatient · +5 other terms | 137 | $150 | $145 | $54 | 37% | — | $79 – $276 |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $107 | $107 | $4 | 4% | — | $105 – $128 |
| 9 | Cigna fee schedule · outpatient · +7 other terms | 102 | $108 | $120 | $33 | 27% | — | $102 – $307 |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 80 | $104 | $144 | $138 | 96% | — | $100 – $786 |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 64 | $108 | $168 | $118 | 70% | — | $102 – $750 |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $111 | $110 | $1 | 0% | — | $103 – $111 |
| 13 | Clover fee schedule · outpatient · +2 other terms | 37 | $105 | $106 | $6 | 5% | — | $100 – $125 |
| 14 | Oscar fee schedule · outpatient · +3 other terms | 36 | $111 | $122 | $26 | 21% | — | $103 – $177 |
| 15 | Ambetter facility · fee schedule · outpatient · +5 other terms | 33 | $189 | $198 | $48 | 24% | — | $100 – $263 |
| 16 | Optum fee schedule · outpatient · +2 other terms | 33 | $105 | $138 | $56 | 40% | — | $101 – $263 |
| 17 | Caresource fee schedule · outpatient · +4 other terms | 26 | $105 | $120 | $24 | 20% | — | $105 – $162 |
| 18 | Medica facility · fee schedule · outpatient · +5 other terms | 22 | $107 | $98 | $26 | 26% | — | $35 – $174 |
| 19 | Regence facility · fee schedule · outpatient · +3 other terms | 19 | $110 | $106 | $8 | 8% | — | $85 – $112 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $126 | $123 | $7 | 6% | — | $104 – $126 |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $103 | $103 | — | — | — | $103 – $103 |
| 22 | Medicare fee schedule · outpatient · +1 other terms | 18 | $102 | $102 | $1 | 1% | — | $102 – $104 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $105 | $121 | $30 | 25% | — | $57 – $165 |
| 24 | Bcbs Mn fee schedule · outpatient · +6 other terms | 13 | $95 | $95 | $22 | 23% | — | $46 – $112 |
| 25 | Wellmark fee schedule · both · +1 other terms | 13 | $97 | $97 | $3 | 3% | — | $76 – $97 |
← Hospitals reporting HCPCS L3570 · Snapshot 20261112T181611Z-3fa9fb76