Shoe transfer of leg brace stirrup

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 solid stirrup exi

Payers reporting HCPCS L3620

Payer pricing summary

Low

$24

Average

$119

Median

$107

High

$274

Payer rate distribution

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Filter by billing class

#
1	Aetna fee schedule · outpatient · +17 other terms	362	$95	$108	$50	46%	—	$47 – $612
2	UnitedHealthcare fee schedule · outpatient · +18 other terms	361	$95	$93	$25	27%	—	$20 – $304
3	Humana fee schedule · outpatient · +14 other terms	319	$94	$140	$151	107%	—	$20 – $725
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	221	$96	$124	$63	51%	—	$0 – $454
5	WellCare fee schedule · outpatient · +7 other terms	208	$97	$100	$15	15%	—	$90 – $179
6	Devoted fee schedule · outpatient · +4 other terms	165	$94	$95	$2	2%	—	$91 – $114
7	Molina fee schedule · outpatient · +7 other terms	142	$133	$127	$49	38%	—	$21 – $247
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$96	$96	$3	3%	—	$94 – $115
9	Cigna fee schedule · outpatient · +15 other terms	104	$97	$107	$30	28%	—	$59 – $275
10	Anthem fee schedule · outpatient · +11 other terms	80	$93	$128	$124	97%	—	$20 – $703
11	Kaiser fee schedule · outpatient · +8 other terms	64	$97	$151	$106	70%	—	$91 – $672
12	Superior Healthplan fee schedule · outpatient	40	$99	$99	$0	0%	—	$92 – $99
13	Clover fee schedule · outpatient · +3 other terms	37	$94	$95	$5	5%	—	$90 – $112
14	Oscar fee schedule · outpatient · +6 other terms	36	$99	$109	$23	21%	—	$92 – $159
15	Ambetter facility · fee schedule · outpatient · +5 other terms	35	$169	$175	$45	26%	—	$68 – $236
16	Optum fee schedule · outpatient · +6 other terms	33	$94	$123	$50	41%	—	$90 – $236
17	Caresource fee schedule · outpatient · +4 other terms	28	$94	$96	$36	37%	—	$20 – $145
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$96	$88	$23	26%	—	$31 – $155
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$113	$110	$6	6%	—	$93 – $113
20	Bcbs Tx fee schedule · outpatient	18	$92	$92	—	—	—	$92 – $92
21	Medicare fee schedule · outpatient · +1 other terms	18	$91	$91	$1	1%	—	$91 – $93
22	Regence facility · fee schedule · outpatient · +5 other terms	18	$99	$95	$7	7%	—	$76 – $100
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$94	$108	$27	25%	—	$51 – $148
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$85	$85	$20	23%	—	$41 – $100
25	Wellmark fee schedule · both · +1 other terms	13	$87	$86	$3	3%	—	$68 – $87

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