Non-inflatable walking boot, 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

WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED, OFF-THE-SHELF

Payers reporting HCPCS L4387

Payer pricing summary

Low

$31

Average

$145

Median

$139

High

$402

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Wellmark case rate · outpatient · +11 other terms	13	$194	$141	$75	53%	22–220	$75 – $416
2	UnitedHealthcare fee schedule · outpatient · +24 other terms	409	$197	$209	$127	61%	—	$1 – $2.0k
3	Aetna fee schedule · outpatient · +23 other terms	386	$197	$236	$169	72%	—	$8 – $1.7k
4	Humana fee schedule · outpatient · +21 other terms	337	$195	$278	$305	109%	—	$1 – $1.6k
5	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	228	$200	$255	$151	59%	—	$0 – $2.1k
6	WellCare fee schedule · outpatient · +12 other terms	210	$202	$206	$31	15%	—	$42 – $371
7	Molina fee schedule · outpatient · +15 other terms	164	$229	$237	$94	40%	—	$33 – $513
8	Devoted fee schedule · outpatient · +9 other terms	160	$196	$197	$4	2%	—	$189 – $237
9	Cigna fee schedule · outpatient · +22 other terms	127	$202	$255	$215	84%	—	$30 – $1.6k
10	Cigna Healthspring fee schedule · outpatient · +5 other terms	121	$200	$201	$9	5%	—	$192 – $239
11	Anthem fee schedule · outpatient · +19 other terms	110	$193	$106	$119	113%	—	$11 – $1.5k
12	Kaiser fee schedule · outpatient · +12 other terms	88	$201	$298	$239	80%	—	$1 – $1.4k
13	Ambetter facility · fee schedule · outpatient · +15 other terms	47	$329	$340	$79	23%	—	$84 – $490
14	Caresource fee schedule · outpatient · +12 other terms	42	$196	$194	$26	13%	—	$89 – $301
15	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$206	$206	$1	0%	—	$192 – $206
16	Clover fee schedule · outpatient · +4 other terms	37	$196	$200	$13	7%	—	$186 – $232
17	Optum fee schedule · outpatient · +13 other terms	35	$192	$246	$107	43%	—	$33 – $490
18	Oscar fee schedule · outpatient · +10 other terms	35	$206	$223	$45	20%	—	$192 – $329
19	MultiPlan fee schedule · outpatient · +15 other terms	29	$250	$465	$671	144%	—	$52 – $2.3k
20	Medica facility · fee schedule · outpatient · +13 other terms	27	$190	$167	$52	31%	—	$29 – $323
21	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$102	$105	$31	29%	—	$75 – $162
22	Carefirst facility · percent of total billed charges · bothfrom % of charges · +1 other terms	25	$26	$32	$25	76%	—	$1 – $104
23	Tricare facility · fee schedule · outpatient · +12 other terms	21	$186	$175	$35	20%	—	$74 – $196
24	Regence fee schedule · outpatient · +9 other terms	20	$182	$235	$54	23%	—	$34 – $606
25	Medicare fee schedule · outpatient · +9 other terms	19	$189	$182	$39	21%	—	$1 – $193

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