Custom-made finger splint

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

Fo W/O Joint Custom T1

Payers reporting HCPCS L3933

Payer pricing summary

Low

Average

$239

Median

$240

High

$521

Payer rate distribution

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#
1	Ambetter fee schedule · both · +16 other terms	49	$441	$409	$136	33%	3–30	$124 – $549
2	Aetna fee schedule · outpatient · +27 other terms	414	$241	$288	$154	54%	—	$1 – $1.6k
3	UnitedHealthcare fee schedule · outpatient · +28 other terms	411	$240	$225	$76	34%	—	$1 – $773
4	Humana fee schedule · outpatient · +25 other terms	350	$239	$337	$364	108%	—	$1 – $1.8k
5	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	255	$243	$285	$146	51%	—	$0 – $1.2k
6	WellCare fee schedule · outpatient · +16 other terms	233	$247	$249	$42	17%	—	$46 – $454
7	Devoted fee schedule · outpatient · +13 other terms	159	$240	$241	$5	2%	—	$232 – $290
8	Molina fee schedule · outpatient · +21 other terms	159	$290	$315	$129	41%	—	$1 – $629
9	Cigna fee schedule · outpatient · +23 other terms	130	$245	$243	$98	40%	—	$61 – $699
10	Cigna Healthspring fee schedule · outpatient · +6 other terms	117	$245	$244	$9	3%	—	$235 – $293
11	Anthem fee schedule · outpatient · +29 other terms	107	$237	$231	$226	98%	—	$13 – $1.8k
12	Kaiser fee schedule · outpatient · +20 other terms	91	$246	$366	$257	70%	—	$45 – $1.7k
13	Caresource fee schedule · outpatient · +15 other terms	52	$240	$240	$38	16%	—	$1 – $369
14	Clover fee schedule · outpatient · +4 other terms	42	$248	$242	$12	5%	—	$228 – $284
15	Optum fee schedule · outpatient · +13 other terms	40	$235	$294	$126	43%	—	$46 – $600
16	Superior Healthplan fee schedule · outpatient · +3 other terms	40	$252	$252	$1	0%	—	$235 – $252
17	Oscar fee schedule · outpatient · +13 other terms	35	$252	$273	$55	20%	—	$235 – $403
18	MultiPlan fee schedule · outpatient · +17 other terms	28	$247	$309	$148	48%	—	$152 – $661
19	Medicare fee schedule · outpatient · +10 other terms	27	$232	$234	$3	1%	—	$232 – $241
20	Tricare fee schedule · outpatient · +11 other terms	27	$224	$207	$22	10%	—	$186 – $240
21	Amerihealth Caritas fee schedule · outpatient · +8 other terms	24	$288	$260	$27	10%	—	$231 – $288
22	Highmark fee schedule · outpatient · +12 other terms	24	$244	$313	$228	73%	—	$68 – $1.4k
23	Regence fee schedule · outpatient · +12 other terms	22	$223	$317	$158	50%	—	$46 – $669
24	Medica facility · fee schedule · outpatient · +15 other terms	21	$138	$182	$90	50%	—	$11 – $333
25	Aetna Better Health fee schedule · outpatient · +12 other terms	19	$185	$178	$139	78%	—	$126 – $776

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