Custom elbow, wrist and hand brace with adjustable 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 Orthotics Prosthetics L3764 Ewho W/Joint(S) Cf

Payers reporting HCPCS L3764

Payer pricing summary

Low

$265

Average

$1.0k

Median

$953

High

$2.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +21 other terms	378	$890	$959	$352	37%	—	$1 – $4.1k
2	Aetna fee schedule · outpatient · +23 other terms	368	$899	$1.1k	$563	51%	—	$1 – $6.1k
3	Humana fee schedule · outpatient · +20 other terms	323	$890	$1.3k	$1.4k	104%	—	$1 – $6.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	235	$908	$1.2k	$658	55%	—	$0 – $4.7k
5	WellCare fee schedule · outpatient · +10 other terms	216	$894	$945	$211	22%	—	$559 – $2.1k
6	Devoted fee schedule · outpatient · +6 other terms	159	$868	$867	$28	3%	—	$831 – $1.1k
7	Molina fee schedule · outpatient · +17 other terms	146	$1.3k	$1.2k	$441	37%	—	$1 – $2.2k
8	Cigna Healthspring fee schedule · outpatient · +3 other terms	117	$917	$892	$60	7%	—	$855 – $1.1k
9	Cigna fee schedule · outpatient · +17 other terms	115	$917	$1.1k	$506	46%	—	$292 – $3.6k
10	Anthem fee schedule · outpatient · +20 other terms	96	$873	$1.4k	$1.1k	77%	—	$777 – $6.6k
11	Kaiser fee schedule · outpatient · +12 other terms	74	$886	$1.5k	$1.0k	68%	—	$834 – $6.7k
12	Caresource fee schedule · outpatient · +8 other terms	44	$890	$904	$156	17%	—	$1 – $1.4k
13	Ambetter facility · fee schedule · outpatient · +10 other terms	43	$1.5k	$1.6k	$358	22%	—	$873 – $2.2k
14	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$898	$898	$4	0%	—	$839 – $898
15	Clover fee schedule · outpatient · +2 other terms	37	$1.0k	$976	$67	7%	—	$890 – $1.1k
16	Oscar fee schedule · outpatient · +11 other terms	36	$935	$1.0k	$306	29%	—	$838 – $1.8k
17	Optum fee schedule · outpatient · +11 other terms	34	$853	$1.1k	$441	39%	—	$814 – $2.1k
18	Amerihealth Caritas fee schedule · outpatient · +6 other terms	24	$1.1k	$1.1k	$18	2%	—	$1.0k – $1.1k
19	Medica facility · fee schedule · outpatient · +10 other terms	21	$896	$805	$192	24%	—	$292 – $1.2k
20	Medicare fee schedule · outpatient · +6 other terms	20	$834	$840	$11	1%	—	$834 – $868
21	Bcbs Tx fee schedule · outpatient · +2 other terms	18	$839	$839	—	—	—	$839 – $839
22	Regence facility · fee schedule · outpatient · +7 other terms	17	$903	$888	$45	5%	—	$755 – $920
23	Tricare facility · fee schedule · outpatient · +7 other terms	17	$1.0k	$1.2k	$538	44%	—	$572 – $2.2k
24	Highmark fee schedule · outpatient · +8 other terms	16	$1.1k	$1.1k	$368	35%	—	$460 – $2.4k
25	Medical Mutual facility · fee schedule · outpatient · +8 other terms	15	$876	$1.0k	$250	25%	—	$477 – $1.4k

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