Custom-fitted hand brace for metacarpal fracture

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

Metacarpal Splnt Pad

Payers reporting HCPCS L3917

Payer pricing summary

Low

$30

Average

$142

Median

$125

High

$286

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	383	$119	$122	$57	47%	—	$1 – $950
2	Aetna fee schedule · outpatient · +16 other terms	370	$119	$169	$164	97%	—	$34 – $1.1k
3	Humana fee schedule · outpatient · +18 other terms	326	$118	$177	$194	110%	—	$57 – $1.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	227	$121	$163	$103	63%	—	$0 – $820
5	WellCare fee schedule · outpatient · +7 other terms	213	$122	$126	$24	19%	—	$45 – $373
6	Devoted fee schedule · outpatient · +4 other terms	165	$119	$119	$3	2%	—	$115 – $144
7	Molina fee schedule · outpatient · +11 other terms	144	$168	$160	$60	38%	—	$76 – $311
8	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$121	$121	$4	3%	—	$119 – $145
9	Cigna fee schedule · outpatient · +16 other terms	106	$122	$150	$94	62%	—	$29 – $727
10	Anthem fee schedule · outpatient · +15 other terms	83	$117	$165	$156	95%	—	$60 – $886
11	Kaiser fee schedule · outpatient · +9 other terms	65	$122	$239	$177	74%	—	$115 – $847
12	Caresource fee schedule · outpatient · +7 other terms	44	$119	$131	$82	62%	—	$77 – $520
13	Ambetter facility · fee schedule · outpatient · +8 other terms	41	$200	$208	$52	25%	—	$113 – $297
14	Superior Healthplan fee schedule · outpatient	40	$125	$125	$1	0%	—	$116 – $125
15	Clover fee schedule · outpatient · +2 other terms	37	$119	$120	$6	5%	—	$113 – $141
16	Oscar fee schedule · outpatient · +7 other terms	36	$125	$137	$29	21%	—	$116 – $200
17	Optum fee schedule · outpatient · +8 other terms	35	$119	$153	$62	40%	—	$114 – $297
18	Medica facility · fee schedule · outpatient · +10 other terms	23	$121	$110	$25	23%	—	$39 – $165
19	Regence facility · fee schedule · outpatient · +6 other terms	19	$124	$119	$9	8%	—	$96 – $127
20	Amerihealth Caritas fee schedule · outpatient · +3 other terms	18	$143	$139	$8	6%	—	$118 – $143
21	Bcbs Tx fee schedule · outpatient	18	$116	$116	—	—	—	$116 – $116
22	Medicare fee schedule · outpatient · +2 other terms	18	$115	$115	$1	1%	—	$115 – $117
23	Tricare facility · fee schedule · outpatient · +4 other terms	17	$115	$117	$7	6%	—	$104 – $147
24	Medical Mutual facility · fee schedule · outpatient · +4 other terms	15	$118	$136	$34	25%	—	$64 – $187
25	Bcbs Mn fee schedule · outpatient · +7 other terms	13	$107	$107	$20	19%	—	$52 – $126

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