Prefabricated ankle control orthosis (brace) at Mercy Perry

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BRACE ANKLE STIRRUP FOAM UNVRSL AB2340-06

Perryville, MO

See all hospitals reporting HCPCS L4350 →

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How this price compares nationally

Mercy Perry’s median price of $33 is 72% below the median hospital's median price ($116), higher than 10% of the 1,568 hospitals reporting HCPCS L4350. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4350 at Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$8	$8	—	—	—	$8 – $8
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
11	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
12	Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
13	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
14	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
15	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
16	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
17	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
18	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
19	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
20	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
21	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
22	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
23	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
24	Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
25	Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37

Page 1 of 2 · 26 rates

Last updated: Mar 12, 2026

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