Custom hand brace without joints, fitted

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

Ho W/O Joints Custom T1

Payers reporting HCPCS L3919

Payer pricing summary

Low

Average

$319

Median

$312

High

$721

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +24 other terms	406	$306	$297	$82	28%	1–10	$1 – $981
2	Premera fee schedule · outpatient · +6 other terms	10	$521	$481	$81	17%	1–10	$354 – $623
3	Aetna fee schedule · outpatient · +22 other terms	398	$306	$363	$174	48%	—	$57 – $2.0k
4	Humana fee schedule · outpatient · +22 other terms	342	$303	$443	$474	107%	—	$56 – $2.3k
5	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	253	$310	$375	$195	52%	—	$0 – $1.5k
6	WellCare fee schedule · outpatient · +12 other terms	234	$314	$320	$62	19%	—	$53 – $620
7	Devoted fee schedule · outpatient · +9 other terms	161	$305	$306	$7	2%	—	$294 – $368
8	Molina fee schedule · outpatient · +17 other terms	154	$380	$403	$161	40%	—	$0 – $798
9	Cigna fee schedule · outpatient · +20 other terms	127	$314	$333	$116	35%	—	$1 – $888
10	Cigna Healthspring fee schedule · outpatient · +6 other terms	116	$311	$310	$11	3%	—	$305 – $371
11	Anthem fee schedule · outpatient · +21 other terms	104	$300	$297	$293	99%	—	$16 – $2.3k
12	Kaiser fee schedule · outpatient · +19 other terms	82	$311	$445	$319	72%	—	$1 – $2.2k
13	Caresource fee schedule · outpatient · +14 other terms	50	$305	$307	$42	14%	—	$198 – $468
14	Ambetter facility · fee schedule · outpatient · +11 other terms	46	$484	$537	$134	25%	—	$290 – $761
15	Clover fee schedule · outpatient · +4 other terms	42	$315	$307	$16	5%	—	$290 – $361
16	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$320	$320	$2	0%	—	$299 – $320
17	Oscar fee schedule · outpatient · +11 other terms	36	$320	$352	$75	21%	—	$298 – $512
18	Optum fee schedule · outpatient · +12 other terms	34	$299	$393	$161	41%	—	$246 – $761
19	Medicare fee schedule · outpatient · +9 other terms	27	$294	$287	$52	18%	—	$1 – $306
20	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$243	$216	$34	16%	—	$169 – $263
21	Amerihealth Caritas fee schedule · outpatient · +7 other terms	24	$366	$350	$71	20%	—	$293 – $586
22	Tricare fee schedule · outpatient · +8 other terms	23	$284	$272	$68	25%	—	$236 – $580
23	Medica facility · fee schedule · outpatient · +12 other terms	21	$219	$246	$92	37%	—	$46 – $423
24	MultiPlan fee schedule · outpatient · +15 other terms	21	$420	$464	$182	39%	—	$260 – $842
25	Bcbs Tx fee schedule · outpatient · +3 other terms	19	$299	$290	$36	12%	—	$139 – $299

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