Shoulder abduction orthosis, prefabricated, with fitting

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

SEWHO AIRPLAN DESIG ABDU POS

Payers reporting HCPCS L3960

Payer pricing summary

Low

$286

Average

$965

Median

$946

High

$1.9k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +21 other terms	400	$936	$890	$377	42%	—	$1 – $3.7k
2	Aetna fee schedule · outpatient · +21 other terms	376	$955	$1.1k	$534	50%	—	$1 – $6.5k
3	Humana fee schedule · outpatient · +19 other terms	331	$927	$1.4k	$1.6k	114%	—	$1 – $7.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	233	$988	$1.3k	$751	59%	—	$0 – $9.7k
5	WellCare fee schedule · outpatient · +12 other terms	219	$973	$1.0k	$157	16%	—	$200 – $1.7k
6	Devoted fee schedule · outpatient · +5 other terms	164	$927	$971	$68	7%	—	$794 – $1.1k
7	Molina fee schedule · outpatient · +15 other terms	155	$1.2k	$1.3k	$561	44%	—	$1 – $2.6k
8	Cigna fee schedule · outpatient · +19 other terms	120	$973	$971	$426	44%	—	$107 – $3.8k
9	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$992	$985	$57	6%	—	$826 – $1.1k
10	Anthem fee schedule · outpatient · +16 other terms	96	$826	$987	$1.0k	105%	—	$59 – $6.7k
11	Kaiser fee schedule · outpatient · +16 other terms	79	$843	$1.3k	$1.1k	87%	—	$59 – $6.8k
12	Caresource fee schedule · outpatient · +10 other terms	46	$927	$896	$169	19%	—	$1 – $1.4k
13	Clover fee schedule · outpatient · +3 other terms	42	$958	$930	$88	9%	—	$831 – $1.1k
14	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$1.1k	$1.1k	$5	0%	—	$988 – $1.1k
15	Ambetter facility · fee schedule · outpatient · +12 other terms	36	$1.6k	$1.8k	$399	23%	—	$647 – $2.3k
16	Oscar fee schedule · outpatient · +11 other terms	36	$987	$1.1k	$300	26%	—	$973 – $1.9k
17	Optum fee schedule · outpatient · +10 other terms	33	$927	$1.2k	$603	50%	—	$467 – $2.5k
18	Medicare fee schedule · outpatient · +5 other terms	23	$794	$818	$45	6%	—	$794 – $912
19	Medica facility · fee schedule · outpatient · +10 other terms	22	$912	$832	$220	26%	—	$297 – $1.5k
20	MultiPlan fee schedule · outpatient · +14 other terms	19	$961	$826	$503	61%	—	$149 – $1.5k
21	Regence facility · fee schedule · outpatient · +6 other terms	19	$859	$858	$27	3%	—	$774 – $890
22	Amerihealth Caritas fee schedule · outpatient · +5 other terms	18	$1.1k	$1.1k	$84	8%	—	$844 – $1.1k
23	Bcbs Tx fee schedule · outpatient	18	$988	$988	—	—	—	$988 – $988
24	Medical Mutual facility · fee schedule · outpatient · +3 other terms	15	$892	$1.0k	$254	25%	—	$486 – $1.4k
25	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$811	$811	$189	23%	—	$395 – $950

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