Custom-made elbow brace with fitting

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

facility

Payers reporting HCPCS L3702

Payer pricing summary

Low

$77

Average

$359

Median

$333

High

$1.3k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +29 other terms	421	$325	$312	$140	45%	—	$1 – $1.6k
2	Aetna fee schedule · outpatient · +28 other terms	413	$326	$392	$237	60%	—	$1 – $2.1k
3	Humana fee schedule · outpatient · +26 other terms	352	$323	$465	$496	107%	—	$1 – $2.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	257	$329	$389	$194	50%	—	$0 – $1.6k
5	WellCare fee schedule · outpatient · +14 other terms	232	$334	$337	$58	17%	—	$9 – $615
6	Molina fee schedule · outpatient · +22 other terms	160	$388	$415	$178	43%	—	$1 – $851
7	Devoted fee schedule · outpatient · +11 other terms	159	$325	$326	$7	2%	—	$314 – $392
8	Cigna fee schedule · outpatient · +24 other terms	134	$328	$346	$168	49%	—	$35 – $1.6k
9	Cigna Healthspring fee schedule · outpatient · +6 other terms	116	$331	$331	$12	3%	—	$325 – $396
10	Anthem fee schedule · outpatient · +27 other terms	110	$320	$303	$310	102%	—	$9 – $2.4k
11	Kaiser fee schedule · outpatient · +19 other terms	93	$333	$512	$412	80%	—	$13 – $2.3k
12	Caresource fee schedule · outpatient · +15 other terms	52	$325	$327	$53	16%	—	$1 – $499
13	Ambetter fee schedule · both · +16 other terms	48	$597	$549	$189	34%	—	$167 – $739
14	Clover fee schedule · outpatient · +4 other terms	42	$336	$328	$17	5%	—	$309 – $385
15	Superior Healthplan fee schedule · outpatient · +2 other terms	41	$341	$338	$30	9%	—	$37 – $341
16	Optum fee schedule · outpatient · +14 other terms	36	$318	$409	$179	44%	—	$13 – $812
17	Oscar fee schedule · outpatient · +12 other terms	36	$341	$370	$74	20%	—	$318 – $545
18	MultiPlan fee schedule · outpatient · +19 other terms	31	$421	$402	$314	78%	—	$53 – $950
19	Medicare fee schedule · outpatient · +11 other terms	26	$314	$316	$4	1%	—	$314 – $327
20	Amerihealth Caritas fee schedule · outpatient · +7 other terms	25	$390	$355	$40	11%	—	$312 – $445
21	Tricare fee schedule · both · +12 other terms	25	$308	$311	$12	4%	—	$278 – $325
22	Regence fee schedule · outpatient · +12 other terms	22	$302	$314	$67	21%	—	$13 – $453
23	Medica facility · fee schedule · outpatient · +14 other terms	21	$182	$219	$129	59%	—	$11 – $438
24	Bcbs Tx fee schedule · outpatient · +3 other terms	19	$318	$301	$51	17%	—	$148 – $318
25	Premera fee schedule · outpatient · +7 other terms	18	$401	$441	$182	41%	—	$13 – $664

Page 1 of 3 · 63 payers