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
BRACE ANKLE ADULT UNIVERSAL GEL AIR LINER ANATOMICALLY SHAPE HOOK LOOP STRAP CS/25EA
Low
$15
Average
$111
Median
$105
High
$456
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 3.1× 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 | UnitedHealthcare fee schedule · outpatient · +28 other terms | 462 | $108 | $116 | $73 | 63% | — | $1 – $737 |
| 2 | Aetna fee schedule · outpatient · +27 other terms | 410 | $117 | $148 | $116 | 78% | — | $12 – $1.0k |
| 3 | Humana fee schedule · outpatient · +24 other terms | 360 | $117 | $148 | $145 | 98% | — | $12 – $813 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +28 other terms | 280 | $123 | $152 | $89 | 58% | — | $0 – $1.2k |
| 5 | WellCare fee schedule · outpatient · +16 other terms | 219 | $112 | $113 | $22 | 19% | — | $13 – $200 |
| 6 | Molina fee schedule · outpatient · +20 other terms | 166 | $123 | $127 | $51 | 40% | — | $7 – $277 |
| 7 | Devoted fee schedule · outpatient · +12 other terms | 159 | $106 | $109 | $7 | 7% | — | $99 – $140 |
| 8 | Cigna fee schedule · outpatient · +25 other terms | 157 | $111 | $132 | $104 | 79% | — | $16 – $761 |
| 9 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 121 | $120 | $116 | $12 | 10% | — | $103 – $141 |
| 10 | Anthem fee schedule · outpatient · +22 other terms | 109 | $117 | $141 | $152 | 108% | — | $12 – $892 |
| 11 | Kaiser fee schedule · outpatient · +18 other terms | 101 | $105 | $235 | $187 | 79% | — | $11 – $830 |
| 12 | MultiPlan fee schedule · outpatient · +18 other terms | 79 | $154 | $150 | $140 | 93% | — | $14 – $600 |
| 13 | Ambetter facility · fee schedule · outpatient · +16 other terms | 57 | $194 | $210 | $39 | 19% | — | $60 – $302 |
| 14 | Caresource fee schedule · outpatient · +14 other terms | 48 | $121 | $119 | $16 | 14% | — | $63 – $184 |
| 15 | Optum fee schedule · outpatient · +13 other terms | 48 | $117 | $118 | $59 | 50% | — | $11 – $264 |
| 16 | Superior Healthplan fee schedule · outpatient · +3 other terms | 42 | $111 | $110 | $6 | 5% | — | $49 – $124 |
| 17 | Tricare facility · fee schedule · outpatient · +15 other terms | 37 | $113 | $92 | $28 | 30% | — | $15 – $137 |
| 18 | Clover fee schedule · outpatient · +5 other terms | 36 | $107 | $117 | $12 | 11% | — | $101 – $137 |
| 19 | Oscar fee schedule · outpatient · +12 other terms | 36 | $127 | $134 | $40 | 30% | — | $104 – $233 |
| 20 | First Health fee schedule · outpatient · +17 other terms | 34 | $171 | $162 | $143 | 88% | — | $42 – $525 |
| 21 | Highmark facility · fee schedule · outpatient · +13 other terms | 31 | $214 | $331 | $210 | 63% | — | $101 – $944 |
| 22 | Medica fee schedule · outpatient · +16 other terms | 30 | $173 | $164 | $69 | 42% | — | $10 – $298 |
| 23 | Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 26 | $117 | $82 | $27 | 32% | — | $45 – $127 |
| 24 | Phcs fee schedule · outpatient · +12 other terms | 26 | $139 | $157 | $55 | 35% | — | $73 – $272 |
| 25 | Medicare facility · fee schedule · outpatient · +9 other terms | 24 | $87 | $90 | $27 | 30% | — | $27 – $118 |
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