Ready-made wrist splint, cock-up style

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SPLINT COLLES ADLT RT PADDED

Payers reporting HCPCS L3908

Payer pricing summary

Low

$14

Average

$74

Median

$61

High

$473

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Wellmark case rate · outpatient · +16 other terms	15	$68	$27	$27	103%	91–640	$4 – $175
2	Aetna fee schedule · outpatient · +31 other terms	437	$69	$140	$124	89%	3–30	$1 – $694
3	Humana fee schedule · outpatient · +27 other terms	378	$68	$89	$94	105%	3–30	$1 – $703
4	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	291	$69	$113	$54	47%	3–30	$0 – $763
5	Molina fee schedule · outpatient · +23 other terms	178	$89	$88	$22	24%	1–10	$1 – $180
6	UnitedHealthcare fee schedule · outpatient · +32 other terms	484	$68	$86	$47	55%	—	$1 – $626
7	WellCare fee schedule · outpatient · +18 other terms	236	$69	$84	$19	22%	—	$3 – $234
8	Cigna fee schedule · outpatient · +27 other terms	162	$70	$108	$63	58%	—	$1 – $469
9	Devoted fee schedule · outpatient · +15 other terms	159	$67	$68	$2	3%	—	$65 – $92
10	Anthem fee schedule · outpatient · +28 other terms	130	$67	$63	$75	118%	—	$3 – $615
11	Cigna Healthspring fee schedule · outpatient · +7 other terms	121	$69	$69	$4	6%	—	$66 – $92
12	Kaiser fee schedule · outpatient · +21 other terms	107	$69	$274	$171	62%	—	$5 – $659
13	MultiPlan fee schedule · outpatient · +20 other terms	85	$127	$117	$105	90%	—	$1 – $676
14	Caresource fee schedule · outpatient · +17 other terms	58	$68	$80	$23	29%	—	$1 – $327
15	Tricare facility · fee schedule · outpatient · +17 other terms	58	$66	$61	$50	83%	—	$7 – $1.1k
16	Ambetter facility · fee schedule · outpatient · +17 other terms	57	$128	$112	$36	32%	—	$0 – $189
17	Optum fee schedule · outpatient · +17 other terms	49	$66	$84	$80	95%	—	$7 – $391
18	Clover fee schedule · outpatient · +7 other terms	42	$71	$79	$9	12%	—	$67 – $90
19	Superior Healthplan fee schedule · outpatient · +3 other terms	40	$71	$71	$0	0%	—	$66 – $71
20	Oscar fee schedule · outpatient · +15 other terms	36	$71	$83	$27	33%	—	$66 – $153
21	First Health fee schedule · outpatient · +18 other terms	34	$114	$109	$86	79%	—	$16 – $331
22	Medica fee schedule · outpatient · +17 other terms	33	$84	$80	$53	66%	—	$8 – $206
23	Medicare fee schedule · both · +10 other terms	32	$82	$90	$48	53%	—	$41 – $351
24	Phcs fee schedule · outpatient · +12 other terms	27	$127	$115	$113	99%	—	$23 – $676
25	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$47	$45	$39	87%	—	$18 – $174

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