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

HC BRACE ORTH ELBO MED

Payers reporting HCPCS L3761

Payer pricing summary

Low

$142

Average

$586

Median

$561

High

$1.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	378	$565	$564	$143	25%	—	$1 – $1.8k
2	Aetna fee schedule · outpatient · +18 other terms	368	$565	$635	$303	48%	—	$14 – $3.7k
3	Humana fee schedule · outpatient · +19 other terms	322	$560	$836	$894	107%	—	$79 – $4.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	227	$574	$740	$394	53%	—	$19 – $3.2k
5	WellCare fee schedule · outpatient · +10 other terms	212	$579	$591	$98	17%	—	$11 – $1.1k
6	Devoted fee schedule · outpatient · +7 other terms	165	$562	$565	$13	2%	—	$543 – $679
7	Molina fee schedule · outpatient · +11 other terms	142	$794	$768	$288	38%	—	$379 – $1.5k
8	Cigna Healthspring fee schedule · outpatient · +6 other terms	116	$574	$573	$20	3%	—	$562 – $686
9	Cigna fee schedule · outpatient · +17 other terms	108	$579	$630	$217	34%	—	$39 – $1.8k
10	Anthem fee schedule · outpatient · +14 other terms	83	$554	$746	$732	98%	—	$11 – $4.2k
11	Kaiser fee schedule · outpatient · +11 other terms	67	$577	$914	$627	69%	—	$543 – $4.0k
12	Ambetter facility · fee schedule · outpatient · +12 other terms	41	$945	$1.0k	$264	26%	—	$406 – $1.4k
13	Caresource fee schedule · outpatient · +8 other terms	41	$562	$576	$128	22%	—	$40 – $864
14	Superior Healthplan fee schedule · outpatient	40	$590	$590	$3	0%	—	$551 – $590
15	Clover fee schedule · outpatient · +3 other terms	37	$562	$566	$30	5%	—	$535 – $666
16	Optum fee schedule · outpatient · +8 other terms	37	$562	$727	$331	46%	—	$26 – $1.5k
17	Oscar fee schedule · outpatient · +8 other terms	36	$590	$649	$138	21%	—	$551 – $946
18	Medicare fee schedule · outpatient · +8 other terms	20	$543	$547	$7	1%	—	$543 – $565
19	Regence facility · fee schedule · outpatient · +5 other terms	19	$588	$564	$45	8%	—	$455 – $599
20	Amerihealth Caritas fee schedule · outpatient · +5 other terms	18	$675	$656	$37	6%	—	$557 – $675
21	Bcbs Tx fee schedule · outpatient	18	$551	$551	—	—	—	$551 – $551
22	Medica fee schedule · both · +12 other terms	15	$901	$872	$260	30%	—	$536 – $1.2k
23	Medical Mutual facility · fee schedule · outpatient · +7 other terms	15	$559	$645	$159	25%	—	$305 – $884
24	Tricare facility · fee schedule · outpatient · +6 other terms	14	$546	$542	$15	3%	—	$491 – $554
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$855	$659	$271	41%	—	$495 – $1.2k

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