Prefabricated hand and finger 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

Hfo nontorsion jnts pre ots

Payers reporting HCPCS L3930

Payer pricing summary

Low

$30

Average

$120

Median

$114

High

$289

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +17 other terms	366	$101	$116	$62	53%	—	$1 – $712
2	UnitedHealthcare fee schedule · outpatient · +18 other terms	364	$99	$100	$26	26%	—	$1 – $353
3	Humana fee schedule · outpatient · +15 other terms	322	$98	$150	$167	112%	—	$1 – $796
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	216	$103	$130	$67	52%	—	$0 – $498
5	WellCare fee schedule · outpatient · +6 other terms	208	$101	$106	$14	13%	—	$86 – $172
6	Devoted fee schedule · outpatient · +5 other terms	165	$95	$100	$7	7%	—	$84 – $120
7	Molina fee schedule · outpatient · +11 other terms	145	$142	$140	$54	38%	—	$1 – $271
8	Cigna Healthspring fee schedule · outpatient · +4 other terms	116	$101	$102	$5	5%	—	$88 – $121
9	Cigna fee schedule · outpatient · +15 other terms	102	$101	$113	$34	31%	—	$84 – $300
10	Anthem fee schedule · outpatient · +14 other terms	81	$88	$133	$137	103%	—	$72 – $766
11	Kaiser fee schedule · outpatient · +7 other terms	64	$90	$168	$130	77%	—	$84 – $782
12	Superior Healthplan fee schedule · outpatient	40	$109	$109	$1	0%	—	$101 – $109
13	Ambetter facility · fee schedule · outpatient · +9 other terms	39	$166	$182	$37	20%	—	$86 – $237
14	Clover fee schedule · outpatient · +2 other terms	37	$95	$95	$9	10%	—	$86 – $117
15	Oscar fee schedule · outpatient · +7 other terms	36	$101	$120	$34	28%	—	$99 – $199
16	Optum fee schedule · outpatient · +6 other terms	33	$95	$129	$59	45%	—	$84 – $259
17	Caresource fee schedule · outpatient · +7 other terms	29	$95	$103	$33	32%	—	$1 – $158
18	Regence facility · fee schedule · outpatient · +4 other terms	19	$91	$93	$4	4%	—	$88 – $102
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$114	$111	$4	3%	—	$102 – $114
20	Bcbs Tx fee schedule · outpatient	18	$101	$101	—	—	—	$101 – $101
21	Medicare fee schedule · outpatient · +3 other terms	18	$84	$85	$1	1%	—	$84 – $86
22	Medical Mutual facility · fee schedule · outpatient · +5 other terms	15	$102	$118	$29	25%	—	$56 – $161
23	Medica fee schedule · outpatient · +10 other terms	14	$172	$176	$60	34%	—	$75 – $256
24	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$93	$93	$22	23%	—	$45 – $109
25	Wellmark fee schedule · both · +4 other terms	13	$106	$105	$5	5%	—	$74 – $106

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