Non-pneumatic walking boot, pre-cast

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 Walking Prefab Customized to Fit Pt T1

Payers reporting HCPCS L4386

Payer pricing summary

Low

$40

Average

$179

Median

$180

High

$372

Payer rate distribution

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#
1	Molina fee schedule · outpatient · +20 other terms	166	$214	$211	$86	41%	5–50	$1 – $513
2	UnitedHealthcare fee schedule · outpatient · +26 other terms	458	$196	$195	$127	65%	—	$1 – $1.5k
3	Aetna fee schedule · outpatient · +27 other terms	411	$197	$266	$190	72%	—	$15 – $1.3k
4	Humana fee schedule · outpatient · +24 other terms	353	$194	$274	$295	108%	—	$1 – $1.5k
5	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	272	$200	$254	$117	46%	—	$0 – $1.7k
6	WellCare fee schedule · outpatient · +14 other terms	228	$202	$202	$30	15%	—	$40 – $371
7	Devoted fee schedule · outpatient · +10 other terms	163	$196	$197	$5	2%	—	$189 – $237
8	Cigna fee schedule · outpatient · +24 other terms	147	$198	$233	$151	65%	—	$15 – $1.5k
9	Cigna Healthspring fee schedule · outpatient · +6 other terms	121	$200	$199	$7	3%	—	$192 – $239
10	Anthem fee schedule · outpatient · +21 other terms	120	$193	$116	$138	119%	—	$10 – $1.5k
11	Kaiser fee schedule · outpatient · +18 other terms	103	$199	$368	$337	91%	—	$15 – $1.4k
12	MultiPlan fee schedule · outpatient · +18 other terms	62	$215	$270	$214	79%	—	$34 – $900
13	Caresource fee schedule · outpatient · +14 other terms	56	$196	$191	$41	21%	—	$1 – $324
14	Ambetter facility · fee schedule · outpatient · +12 other terms	47	$351	$300	$127	42%	—	$82 – $490
15	Optum fee schedule · outpatient · +14 other terms	45	$192	$231	$98	42%	—	$29 – $490
16	Clover fee schedule · outpatient · +5 other terms	41	$202	$197	$10	5%	—	$186 – $232
17	Superior Healthplan fee schedule · outpatient · +3 other terms	41	$206	$206	$3	1%	—	$192 – $230
18	Oscar fee schedule · outpatient · +11 other terms	36	$206	$223	$45	20%	—	$192 – $329
19	Tricare facility · fee schedule · outpatient · +11 other terms	32	$186	$150	$46	31%	—	$36 – $196
20	Medica fee schedule · outpatient · +13 other terms	31	$261	$269	$130	49%	—	$54 – $489
21	Medicare fee schedule · both · +10 other terms	29	$195	$195	$2	1%	—	$190 – $217
22	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$62	$98	$64	66%	—	$43 – $207
23	First Health fee schedule · outpatient · +15 other terms	22	$223	$244	$189	78%	—	$55 – $788
24	Regence fee schedule · outpatient · +13 other terms	21	$182	$205	$47	23%	—	$30 – $606
25	Medicaid fee schedule · outpatient · +8 other terms	20	$130	$145	$202	140%	—	$1 – $1.4k

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