Custom-made rigid wrist and finger brace

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 L3808

Payer pricing summary

Low

Average

$394

Median

$369

High

$1.7k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Premera fee schedule · outpatient · +6 other terms	18	$500	$616	$128	21%	1–10	$69 – $829
2	UnitedHealthcare fee schedule · outpatient · +31 other terms	446	$383	$393	$245	62%	—	$1 – $3.2k
3	Aetna fee schedule · outpatient · +30 other terms	436	$398	$508	$350	69%	—	$1 – $3.2k
4	Humana fee schedule · outpatient · +27 other terms	362	$391	$530	$552	104%	—	$1 – $2.9k
5	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	273	$383	$518	$213	41%	—	$0 – $1.9k
6	WellCare fee schedule · outpatient · +17 other terms	240	$387	$411	$126	31%	—	$6 – $929
7	Molina fee schedule · outpatient · +24 other terms	173	$436	$434	$190	44%	—	$1 – $984
8	Cigna fee schedule · outpatient · +26 other terms	159	$394	$481	$481	100%	—	$1 – $4.3k
9	Devoted fee schedule · outpatient · +13 other terms	158	$376	$382	$14	4%	—	$376 – $506
10	Anthem fee schedule · outpatient · +27 other terms	126	$402	$357	$538	151%	—	$6 – $4.8k
11	Cigna Healthspring fee schedule · outpatient · +7 other terms	117	$402	$388	$21	5%	—	$368 – $511
12	Kaiser fee schedule · outpatient · +20 other terms	102	$419	$702	$652	93%	—	$18 – $3.1k
13	Caresource fee schedule · outpatient · +16 other terms	54	$381	$385	$60	16%	—	$1 – $616
14	MultiPlan fee schedule · outpatient · +18 other terms	52	$470	$602	$806	134%	—	$3 – $4.8k
15	Ambetter fee schedule · both · +18 other terms	50	$691	$679	$239	35%	—	$194 – $1.3k
16	Clover fee schedule · outpatient · +4 other terms	42	$395	$411	$25	6%	—	$376 – $496
17	Superior Healthplan fee schedule · outpatient · +2 other terms	41	$395	$390	$39	10%	—	$8 – $395
18	Optum fee schedule · outpatient · +14 other terms	39	$394	$451	$170	38%	—	$68 – $939
19	Oscar fee schedule · outpatient · +13 other terms	36	$394	$458	$148	32%	—	$368 – $844
20	Medicare fee schedule · both · +11 other terms	32	$376	$351	$141	40%	—	$0 – $818
21	Tricare facility · fee schedule · outpatient · +13 other terms	32	$391	$393	$137	35%	—	$38 – $969
22	Medica facility · fee schedule · outpatient · +14 other terms	29	$375	$285	$141	49%	—	$21 – $541
23	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$454	$291	$173	60%	—	$44 – $491
24	Amerihealth Caritas fee schedule · outpatient · +8 other terms	25	$451	$516	$186	36%	—	$116 – $877
25	Highmark fee schedule · outpatient · +13 other terms	24	$483	$560	$397	71%	—	$188 – $2.5k

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