Replacement soft interface for foot drop splint

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

Replace foot drop spint

Payers reporting HCPCS L4394

Payer pricing summary

Low

Average

$28

Median

$23

High

$100

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	364	$21	$24	$11	46%	—	$11 – $135
2	UnitedHealthcare fee schedule · outpatient · +16 other terms	361	$21	$21	$5	23%	—	$9 – $67
3	Humana fee schedule · outpatient · +12 other terms	319	$21	$32	$34	108%	—	$11 – $163
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	231	$22	$28	$14	52%	—	$0 – $101
5	WellCare fee schedule · outpatient · +4 other terms	208	$22	$22	$3	15%	—	$20 – $40
6	Devoted fee schedule · outpatient · +4 other terms	165	$21	$21	$1	3%	—	$20 – $26
7	Molina fee schedule · outpatient · +6 other terms	140	$30	$29	$11	38%	—	$13 – $56
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$22	$22	$1	4%	—	$21 – $26
9	Cigna fee schedule · outpatient · +12 other terms	104	$22	$24	$7	28%	—	$13 – $62
10	Anthem fee schedule · outpatient · +10 other terms	81	$21	$29	$28	97%	—	$13 – $158
11	Kaiser fee schedule · outpatient · +5 other terms	64	$21	$33	$23	70%	—	$20 – $148
12	Superior Healthplan fee schedule · outpatient	40	$22	$22	$0	0%	—	$21 – $22
13	Clover fee schedule · outpatient · +2 other terms	37	$21	$21	$1	5%	—	$20 – $25
14	Oscar fee schedule · outpatient · +5 other terms	36	$22	$24	$5	20%	—	$21 – $36
15	Ambetter facility · fee schedule · outpatient · +5 other terms	35	$38	$40	$10	24%	—	$21 – $53
16	Optum fee schedule · outpatient · +3 other terms	33	$21	$28	$11	41%	—	$20 – $53
17	Caresource fee schedule · outpatient · +4 other terms	28	$21	$23	$6	26%	—	$13 – $33
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$22	$20	$5	26%	—	$7 – $34
19	Regence facility · fee schedule · outpatient · +3 other terms	19	$22	$21	$2	8%	—	$17 – $22
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$25	$25	$1	6%	—	$21 – $25
21	Bcbs Tx fee schedule · outpatient	18	$21	$21	—	—	—	$21 – $21
22	Medicare fee schedule · outpatient · +1 other terms	18	$20	$20	$0	1%	—	$20 – $21
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$21	$24	$6	25%	—	$11 – $33
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$19	$19	$4	23%	—	$9 – $22
25	Wellmark fee schedule · both · +2 other terms	13	$19	$19	$1	3%	—	$15 – $19

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