Pneumatic walking boot, pre-custom

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

Boot Air Walker, Equalizer

Payers reporting HCPCS L4360

Payer pricing summary

Low

$44

Average

$303

Median

$254

High

$2.7k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +26 other terms	413	$340	$469	$455	97%	1–10	$1 – $2.8k
2	UnitedHealthcare fee schedule · outpatient · +27 other terms	455	$333	$375	$264	70%	—	$1 – $2.5k
3	Humana fee schedule · outpatient · +23 other terms	349	$338	$445	$476	107%	—	$1 – $2.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	279	$342	$487	$268	55%	—	$0 – $4.2k
5	WellCare fee schedule · outpatient · +16 other terms	226	$337	$355	$73	21%	—	$38 – $644
6	Molina fee schedule · outpatient · +18 other terms	161	$437	$405	$162	40%	—	$28 – $848
7	Devoted fee schedule · outpatient · +11 other terms	158	$337	$326	$13	4%	—	$318 – $433
8	Cigna fee schedule · outpatient · +26 other terms	150	$337	$452	$392	87%	—	$1 – $2.6k
9	Anthem fee schedule · outpatient · +24 other terms	123	$338	$297	$366	123%	—	$19 – $2.9k
10	Cigna Healthspring fee schedule · outpatient · +5 other terms	121	$348	$334	$22	7%	—	$318 – $437
11	Kaiser fee schedule · outpatient · +19 other terms	100	$350	$754	$662	88%	—	$27 – $3.1k
12	MultiPlan fee schedule · outpatient · +19 other terms	63	$216	$453	$529	117%	—	$42 – $2.9k
13	Ambetter facility · fee schedule · outpatient · +17 other terms	55	$573	$530	$162	31%	—	$104 – $895
14	Caresource fee schedule · outpatient · +16 other terms	50	$338	$310	$53	17%	—	$44 – $492
15	Tricare facility · fee schedule · outpatient · +14 other terms	45	$312	$232	$91	39%	—	$35 – $371
16	Superior Healthplan fee schedule · outpatient · +3 other terms	42	$334	$331	$31	9%	—	$28 – $373
17	Clover fee schedule · outpatient · +6 other terms	41	$334	$338	$18	5%	—	$324 – $424
18	Optum fee schedule · outpatient · +14 other terms	38	$331	$348	$183	53%	—	$28 – $795
19	Oscar fee schedule · outpatient · +13 other terms	36	$355	$383	$101	26%	—	$312 – $631
20	Medica facility · fee schedule · outpatient · +14 other terms	32	$312	$255	$92	36%	—	$36 – $530
21	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$233	$207	$129	62%	—	$78 – $645
22	Amerihealth Caritas fee schedule · outpatient · +10 other terms	25	$406	$361	$57	16%	—	$116 – $406
23	Medicare fee schedule · outpatient · +11 other terms	25	$330	$331	$7	2%	—	$297 – $343
24	First Health fee schedule · outpatient · +18 other terms	23	$515	$616	$543	88%	—	$65 – $2.8k
25	Regence fee schedule · outpatient · +12 other terms	22	$406	$478	$144	30%	—	$29 – $2.2k

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