Custom hand and finger brace with elastic bands

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

PEDS APPLY CUSTOM DYN HAND/FINGER SPLINT

Payers reporting HCPCS L3921

Payer pricing summary

Low

Average

$429

Median

$379

High

$2.4k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +28 other terms	397	$361	$353	$106	30%	—	$1 – $1.2k
2	Aetna fee schedule · outpatient · +25 other terms	394	$363	$445	$257	58%	—	$1 – $2.3k
3	Humana fee schedule · outpatient · +22 other terms	331	$359	$525	$567	108%	—	$1 – $2.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	245	$368	$452	$228	50%	—	$0 – $1.7k
5	WellCare fee schedule · outpatient · +15 other terms	224	$372	$376	$63	17%	—	$69 – $684
6	Devoted fee schedule · outpatient · +12 other terms	161	$361	$363	$8	2%	—	$349 – $436
7	Molina fee schedule · outpatient · +19 other terms	155	$456	$481	$215	45%	—	$1 – $2.0k
8	Cigna fee schedule · outpatient · +22 other terms	129	$372	$388	$135	35%	—	$123 – $1.1k
9	Cigna Healthspring fee schedule · outpatient · +6 other terms	116	$368	$368	$13	3%	—	$361 – $441
10	Anthem fee schedule · outpatient · +26 other terms	101	$356	$434	$382	88%	—	$78 – $2.7k
11	Kaiser fee schedule · outpatient · +17 other terms	84	$370	$567	$395	70%	—	$68 – $2.6k
12	Caresource fee schedule · outpatient · +14 other terms	46	$361	$371	$81	22%	—	$1 – $585
13	Ambetter facility · fee schedule · outpatient · +15 other terms	44	$608	$644	$148	23%	—	$344 – $903
14	Optum fee schedule · outpatient · +13 other terms	40	$354	$443	$190	43%	—	$69 – $903
15	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$379	$379	$2	0%	—	$354 – $379
16	Clover fee schedule · outpatient · +4 other terms	37	$361	$363	$19	5%	—	$344 – $428
17	Oscar fee schedule · outpatient · +12 other terms	36	$379	$417	$88	21%	—	$354 – $608
18	Amerihealth Caritas fee schedule · outpatient · +7 other terms	24	$433	$392	$41	10%	—	$347 – $433
19	MultiPlan fee schedule · outpatient · +17 other terms	24	$374	$483	$289	60%	—	$199 – $1.2k
20	Tricare fee schedule · outpatient · +10 other terms	23	$336	$308	$31	10%	—	$280 – $361
21	Regence fee schedule · outpatient · +11 other terms	22	$336	$371	$86	23%	—	$70 – $504
22	Medica facility · fee schedule · outpatient · +11 other terms	21	$367	$331	$79	24%	—	$120 – $488
23	Medicare fee schedule · outpatient · +9 other terms	20	$349	$351	$4	1%	—	$349 – $363
24	Highmark fee schedule · outpatient · +10 other terms	19	$367	$414	$234	57%	—	$161 – $1.5k
25	Bcbs Tx fee schedule · outpatient · +2 other terms	18	$354	$354	—	—	—	$354 – $354

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