Small vinyl-coated splint for right wrist

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

HC SUP RC 274 A4565

Payers reporting HCPCS A4565

Payer pricing summary

Low

Average

$58

Median

$42

High

$320

Payer rate distribution

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Filter by billing class

#
1	Wellmark case rate · outpatient · +16 other terms	15	$11	$15	$4	25%	43–430	$10 – $23
2	UnitedHealthcare fee schedule · outpatient · +26 other terms	376	$11	$36	$63	176%	13–130	$1 – $626
3	Bcbs Wy other · both · +1 other terms	1	$314	$314	—	—	2–20	$314 – $314
4	Bcbs Mo professional · other · both · +2 other terms	1	$6	$6	—	—	1–10	$6 – $6
5	Humana fee schedule · outpatient · +21 other terms	320	$11	$15	$16	104%	—	$4 – $91
6	Aetna fee schedule · outpatient · +25 other terms	303	$11	$16	$26	159%	—	$1 – $287
7	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	227	$11	$16	$30	183%	—	$1 – $692
8	WellCare fee schedule · outpatient · +14 other terms	188	$11	$12	$2	16%	—	$3 – $21
9	Devoted fee schedule · outpatient · +13 other terms	162	$11	$11	$0	2%	—	$11 – $12
10	Cigna Healthspring fee schedule · outpatient · +2 other terms	121	$11	$11	$0	2%	—	$11 – $12
11	Molina fee schedule · outpatient · +17 other terms	117	$13	$19	$19	99%	—	$4 – $132
12	Cigna fee schedule · outpatient · +22 other terms	114	$11	$70	$95	136%	—	$1 – $362
13	Anthem fee schedule · outpatient · +23 other terms	96	$11	$109	$128	118%	—	$1 – $436
14	Kaiser fee schedule · outpatient · +18 other terms	68	$11	$78	$85	109%	—	$4 – $348
15	MultiPlan fee schedule · outpatient · +18 other terms	56	$37	$87	$103	119%	—	$4 – $405
16	Superior Healthplan fee schedule · outpatient · +3 other terms	44	$12	$11	$1	8%	—	$5 – $19
17	Clover fee schedule · outpatient · +4 other terms	36	$11	$11	$0	3%	—	$11 – $12
18	Caresource fee schedule · outpatient · +13 other terms	32	$11	$65	$50	77%	—	$8 – $122
19	Medcost facility · percent of total billed charges · bothfrom % of charges · +6 other terms	32	$43	$119	$225	190%	—	$3 – $791
20	Optum fee schedule · outpatient · +11 other terms	32	$11	$12	$4	39%	—	$4 – $27
21	Medica fee schedule · outpatient · +15 other terms	30	$21	$28	$22	77%	—	$4 – $111
22	Bcbs Tx fee schedule · outpatient · +1 other terms	27	$10	$10	$3	31%	—	$8 – $38
23	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$13	$14	$11	77%	—	$6 – $48
24	Oscar fee schedule · outpatient · +10 other terms	25	$11	$11	$0	4%	—	$11 – $12
25	First Health fee schedule · outpatient · +15 other terms	23	$104	$164	$109	67%	—	$4 – $396

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