Prefabricated wrist and hand brace with 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

Who nontorsion jnts pre ots

Payers reporting HCPCS L3916

Payer pricing summary

Low

$151

Average

$614

Median

$588

High

$1.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +15 other terms	385	$598	$552	$197	36%	—	$1 – $1.9k
2	Aetna fee schedule · outpatient · +14 other terms	369	$600	$671	$328	49%	—	$18 – $3.9k
3	Humana fee schedule · outpatient · +11 other terms	327	$595	$864	$952	110%	—	$138 – $4.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	224	$607	$675	$382	57%	—	$0 – $2.9k
5	WellCare fee schedule · outpatient · +6 other terms	209	$616	$630	$99	16%	—	$28 – $1.1k
6	Devoted fee schedule · outpatient · +5 other terms	165	$598	$601	$14	2%	—	$578 – $722
7	Molina fee schedule · outpatient · +6 other terms	140	$848	$818	$309	38%	—	$337 – $1.6k
8	Cigna fee schedule · outpatient · +12 other terms	116	$616	$564	$267	47%	—	$49 – $1.7k
9	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$610	$609	$21	3%	—	$598 – $729
10	Anthem fee schedule · outpatient · +9 other terms	84	$589	$764	$767	100%	—	$28 – $4.5k
11	Kaiser fee schedule · outpatient · +7 other terms	66	$613	$938	$671	72%	—	$146 – $4.3k
12	Caresource fee schedule · outpatient · +5 other terms	41	$598	$391	$298	76%	—	$82 – $919
13	Optum fee schedule · outpatient · +4 other terms	40	$589	$583	$382	66%	—	$66 – $1.5k
14	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$628	$627	$3	0%	—	$586 – $628
15	Clover fee schedule · outpatient · +2 other terms	37	$598	$601	$32	5%	—	$569 – $708
16	Oscar fee schedule · outpatient · +6 other terms	36	$628	$690	$146	21%	—	$586 – $1.0k
17	Ambetter facility · fee schedule · outpatient · +6 other terms	34	$1.1k	$1.1k	$269	24%	—	$569 – $1.5k
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$625	$599	$47	8%	—	$484 – $637
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$717	$697	$40	6%	—	$592 – $717
20	Bcbs Tx fee schedule · outpatient	18	$586	$586	—	—	—	$586 – $586
21	Medicare fee schedule · outpatient · +1 other terms	18	$578	$580	$4	1%	—	$578 – $589
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$595	$685	$169	25%	—	$324 – $939
23	MultiPlan fee schedule · outpatient · +10 other terms	14	$330	$277	$124	45%	—	$80 – $586
24	Aetna Better Health fee schedule · outpatient · +2 other terms	13	$314	$543	$422	78%	—	$314 – $1.9k
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$541	$541	$126	23%	—	$263 – $633

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