Pneumatic walking boot, prefabricated, off-the-shelf

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 Select

Payers reporting HCPCS L4361

Payer pricing summary

Low

$56

Average

$321

Median

$267

High

$2.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Wellmark case rate · outpatient · +7 other terms	14	$318	$195	$110	56%	43–430	$128 – $679
2	UnitedHealthcare fee schedule · outpatient · +26 other terms	410	$337	$355	$253	71%	19–190	$1 – $1.7k
3	Medicaid facility · fee schedule · outpatient · +9 other terms	10	$194	$194	$75	39%	1–10	$90 – $318
4	Aetna fee schedule · outpatient · +25 other terms	381	$341	$424	$337	80%	—	$1 – $2.8k
5	Humana fee schedule · outpatient · +24 other terms	326	$338	$472	$494	105%	—	$1 – $2.4k
6	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	235	$343	$432	$280	65%	—	$0 – $4.1k
7	WellCare fee schedule · outpatient · +14 other terms	211	$337	$369	$106	29%	—	$86 – $693
8	Devoted fee schedule · outpatient · +10 other terms	158	$337	$326	$13	4%	—	$318 – $433
9	Molina fee schedule · outpatient · +17 other terms	149	$469	$420	$177	42%	—	$1 – $848
10	Cigna fee schedule · outpatient · +21 other terms	130	$337	$465	$325	70%	—	$19 – $1.4k
11	Cigna Healthspring fee schedule · outpatient · +5 other terms	116	$348	$335	$24	7%	—	$318 – $437
12	Anthem fee schedule · outpatient · +19 other terms	102	$343	$280	$306	109%	—	$21 – $2.4k
13	Kaiser fee schedule · outpatient · +14 other terms	79	$350	$837	$725	87%	—	$32 – $3.1k
14	Ambetter facility · fee schedule · outpatient · +14 other terms	43	$573	$614	$107	17%	—	$231 – $895
15	Caresource fee schedule · outpatient · +13 other terms	41	$338	$302	$77	26%	—	$1 – $492
16	Superior Healthplan fee schedule · outpatient · +3 other terms	40	$334	$334	$2	0%	—	$312 – $334
17	Clover fee schedule · outpatient · +5 other terms	36	$332	$339	$22	7%	—	$324 – $424
18	Optum fee schedule · outpatient · +14 other terms	36	$330	$359	$204	57%	—	$32 – $826
19	Oscar fee schedule · outpatient · +11 other terms	35	$355	$382	$102	27%	—	$312 – $631
20	MultiPlan fee schedule · outpatient · +16 other terms	26	$210	$480	$502	105%	—	$43 – $1.6k
21	Carefirst facility · percent of total billed charges · bothfrom % of charges · +1 other terms	25	$63	$72	$50	70%	—	$1 – $203
22	Amerihealth Caritas fee schedule · outpatient · +7 other terms	24	$406	$500	$126	25%	—	$361 – $654
23	Medica facility · fee schedule · outpatient · +16 other terms	23	$201	$209	$93	45%	—	$40 – $337
24	Tricare facility · fee schedule · outpatient · +13 other terms	22	$334	$287	$68	24%	—	$81 – $399
25	Regence fee schedule · outpatient · +8 other terms	20	$406	$467	$140	30%	—	$33 – $1.4k

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