Transfer of a leg brace caliper plate to a new shoe

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

Trans shoe caliper plate new

Payers reporting HCPCS L3610

Payer pricing summary

Low

$31

Average

$147

Median

$129

High

$339

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +13 other terms	358	$125	$143	$66	46%	—	$62 – $806
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	358	$125	$122	$33	28%	—	$1 – $400
3	Humana fee schedule · outpatient · +10 other terms	317	$124	$185	$199	108%	—	$43 – $955
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	227	$127	$161	$83	51%	—	$0 – $598
5	WellCare fee schedule · outpatient · +6 other terms	208	$128	$131	$20	15%	—	$118 – $235
6	Devoted fee schedule · outpatient · +3 other terms	165	$124	$125	$3	2%	—	$120 – $150
7	Molina fee schedule · outpatient · +5 other terms	138	$177	$171	$64	38%	—	$46 – $325
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$127	$126	$4	3%	—	$124 – $151
9	Cigna fee schedule · outpatient · +11 other terms	102	$128	$141	$39	27%	—	$120 – $362
10	Anthem fee schedule · outpatient · +8 other terms	80	$122	$168	$164	97%	—	$43 – $926
11	Kaiser fee schedule · outpatient · +4 other terms	64	$127	$198	$139	70%	—	$120 – $885
12	Superior Healthplan fee schedule · outpatient	40	$130	$130	$1	0%	—	$122 – $130
13	Clover fee schedule · outpatient · +3 other terms	37	$124	$125	$7	5%	—	$118 – $147
14	Oscar fee schedule · outpatient · +5 other terms	36	$130	$143	$30	21%	—	$122 – $209
15	Ambetter facility · fee schedule · outpatient · +5 other terms	34	$222	$233	$56	24%	—	$118 – $310
16	Optum fee schedule · outpatient · +3 other terms	33	$124	$162	$66	41%	—	$119 – $310
17	Caresource fee schedule · outpatient · +4 other terms	28	$124	$129	$42	33%	—	$43 – $191
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$126	$116	$30	26%	—	$41 – $205
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$130	$125	$10	8%	—	$100 – $132
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$149	$145	$8	6%	—	$123 – $149
21	Bcbs Tx fee schedule · outpatient	18	$122	$122	—	—	—	$122 – $122
22	Medicare fee schedule · outpatient · +1 other terms	18	$120	$120	$1	1%	—	$120 – $122
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$123	$142	$35	25%	—	$67 – $195
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$112	$112	$26	23%	—	$55 – $132
25	Wellmark fee schedule · both · +1 other terms	13	$114	$114	$4	3%	—	$90 – $114

Page 1 of 3 · 53 payers