Hard plastic stabilizing brace, prefabricated

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

So hard plas stabili pre cst

Payers reporting HCPCS L3677

Payer pricing summary

Low

Average

$347

Median

$280

High

$1.2k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +10 other terms	46	$645	$584	$302	52%	—	$45 – $878
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	31	$205	$363	$291	80%	—	$151 – $1.4k
3	UnitedHealthcare fee schedule · both · +12 other terms	26	$54	$102	$63	62%	—	$52 – $248
4	Aetna fee schedule · outpatient · +11 other terms	19	$51	$108	$120	111%	—	$46 – $575
5	Anthem facility · case rate · outpatient · +7 other terms	15	$29	$31	$7	23%	—	$20 – $49
6	Caresource facility · case rate · outpatient · +2 other terms	15	$29	$31	$7	23%	—	$20 – $50
7	Cigna fee schedule · both · +10 other terms	15	$208	$179	$55	31%	—	$51 – $208
8	Molina facility · case rate · outpatient · +5 other terms	15	$29	$31	$7	23%	—	$20 – $49
9	Regence fee schedule · outpatient · +2 other terms	15	$102	$128	$46	36%	—	$80 – $264
10	Wellmark fee schedule · both · +3 other terms	13	$327	$326	$6	2%	—	$290 – $327
11	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$479	$361	$205	57%	—	$151 – $600
12	Optum facility · case rate · outpatient · +2 other terms	11	$27	$30	$7	22%	—	$24 – $44
13	Highmark fee schedule · outpatient · +1 other terms	10	$534	$534	—	—	—	$534 – $534
14	Medica fee schedule · outpatient · +5 other terms	10	$182	$182	$47	26%	—	$110 – $235
15	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$47	$47	—	—	—	$47 – $47
16	Bcbs Id fee schedule · outpatient · +3 other terms	4	$194	$194	—	—	—	$194 – $194
17	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$1.1k	$1.2k	$69	6%	—	$1.1k – $1.3k
18	First Health professional · fee schedule · both · +5 other terms	3	$51	$51	—	—	—	$51 – $51
19	Ambetter facility · percent of total billed charges · outpatientfrom % of charges	2	$649	$649	$502	77%	—	$146 – $1.2k
20	Kaiser fee schedule · both · +4 other terms	2	$270	$270	—	—	—	$270 – $270
21	MultiPlan fee schedule · both · +6 other terms	2	$92	$51	$47	92%	—	$15 – $149
22	Amerihealth Caritas facility · percent of total billed charges · outpatientfrom % of charges	1	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
23	Bcbs Il professional · fee schedule · both	1	$290	$290	—	—	—	$290 – $290
24	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
25	Bcbs Nc facility · fee schedule · outpatient	1	$114	$114	$10	9%	—	$100 – $121

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