Custom-fitted elbow brace with adjustable locking joints

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

HB=EO ADJ LOCK JOINTS PREFAB CUSTOM FIT

Payers reporting HCPCS L3760

Payer pricing summary

Low

$118

Average

$690

Median

$560

High

$5.6k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +23 other terms	346	$560	$807	$871	108%	1–10	$1 – $4.3k
2	UnitedHealthcare fee schedule · outpatient · +25 other terms	428	$565	$604	$306	51%	—	$1 – $2.2k
3	Aetna fee schedule · outpatient · +26 other terms	398	$565	$658	$358	54%	—	$1 – $3.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	265	$574	$736	$437	59%	—	$0 – $4.7k
5	WellCare fee schedule · outpatient · +13 other terms	227	$579	$585	$100	17%	—	$116 – $1.1k
6	Devoted fee schedule · outpatient · +9 other terms	165	$562	$565	$13	2%	—	$543 – $679
7	Molina fee schedule · outpatient · +17 other terms	159	$654	$710	$308	43%	—	$1 – $1.5k
8	Cigna fee schedule · outpatient · +23 other terms	141	$579	$770	$413	54%	—	$146 – $2.3k
9	Cigna Healthspring fee schedule · outpatient · +4 other terms	116	$574	$573	$20	3%	—	$562 – $686
10	Anthem fee schedule · outpatient · +23 other terms	110	$554	$589	$622	106%	—	$30 – $4.2k
11	Kaiser fee schedule · outpatient · +18 other terms	87	$577	$915	$665	73%	—	$286 – $4.0k
12	Caresource fee schedule · outpatient · +12 other terms	51	$562	$530	$157	30%	—	$1 – $953
13	Ambetter facility · fee schedule · outpatient · +12 other terms	46	$841	$933	$239	26%	—	$406 – $1.4k
14	Clover fee schedule · outpatient · +3 other terms	42	$581	$567	$29	5%	—	$535 – $666
15	Superior Healthplan fee schedule · outpatient · +3 other terms	40	$590	$590	$3	0%	—	$551 – $590
16	MultiPlan fee schedule · outpatient · +17 other terms	37	$1.5k	$1.4k	$613	45%	—	$253 – $2.4k
17	Optum fee schedule · outpatient · +12 other terms	37	$562	$741	$310	42%	—	$271 – $1.4k
18	Oscar fee schedule · outpatient · +10 other terms	37	$590	$648	$136	21%	—	$551 – $946
19	Tricare facility · fee schedule · outpatient · +13 other terms	32	$546	$519	$78	15%	—	$216 – $695
20	Medica facility · fee schedule · outpatient · +14 other terms	28	$546	$418	$179	43%	—	$36 – $759
21	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	26	$311	$253	$82	33%	—	$57 – $383
22	Medicare fee schedule · outpatient · +8 other terms	25	$543	$548	$9	2%	—	$525 – $565
23	First Health fee schedule · outpatient · +16 other terms	19	$1.3k	$1.2k	$576	49%	—	$179 – $2.1k
24	Amerihealth Caritas fee schedule · outpatient · +7 other terms	18	$675	$656	$37	6%	—	$557 – $675
25	Bcbs Tx fee schedule · outpatient · +2 other terms	18	$551	$551	—	—	—	$551 – $551

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