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.
Original text from hospital filings
UPPER EXTREMITY FRACTURE ORTHOSIS; HUMERAL; PREFABRICATED; INCLUDES SHOULDER CAP DESIGN; WITH OR WITHOUT JOINTS; FOREARM SECTION; MAY INCLUDE SOFT INTERFACE; STRAPS; INCLUDES FITTING AND ADJUSTMENTS
Low
$129
Average
$1.0k
Median
$1.1k
High
$2.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
54 payers; the 90th percentile is 2.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +15 other terms | 360 | $1.1k | $1.3k | $621 | 47% | — | $273 – $7.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +16 other terms | 358 | $1.1k | $1.2k | $303 | 26% | — | $240 – $3.6k |
| 3 | Humana fee schedule · outpatient · +14 other terms | 318 | $1.1k | $1.7k | $1.8k | 107% | — | $578 – $8.7k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +15 other terms | 211 | $1.2k | $1.4k | $667 | 48% | — | $0 – $5.5k |
| 5 | WellCare fee schedule · outpatient · +8 other terms | 210 | $1.2k | $1.2k | $185 | 15% | — | $224 – $2.1k |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $1.1k | $1.1k | $27 | 2% | — | $1.1k – $1.4k |
| 7 | Molina fee schedule · outpatient · +8 other terms | 138 | $1.6k | $1.6k | $582 | 37% | — | $844 – $3.0k |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $1.2k | $1.2k | $40 | 3% | — | $1.1k – $1.4k |
| 9 | Cigna fee schedule · outpatient · +13 other terms | 107 | $1.2k | $1.3k | $427 | 32% | — | $879 – $3.3k |
| 10 | Anthem fee schedule · outpatient · +13 other terms | 85 | $1.1k | $1.5k | $1.4k | 96% | — | $219 – $8.4k |
| 11 | Kaiser fee schedule · outpatient · +9 other terms | 66 | $1.2k | $1.8k | $1.3k | 70% | — | $858 – $8.1k |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $1.2k | $1.2k | $6 | 0% | — | $1.1k – $1.2k |
| 13 | Clover fee schedule · outpatient · +3 other terms | 37 | $1.1k | $1.1k | $60 | 5% | — | $1.1k – $1.3k |
| 14 | Oscar fee schedule · outpatient · +7 other terms | 35 | $1.2k | $1.3k | $262 | 20% | — | $1.1k – $1.9k |
| 15 | Ambetter facility · fee schedule · outpatient · +8 other terms | 34 | $2.0k | $2.1k | $510 | 24% | — | $1.1k – $2.8k |
| 16 | Optum fee schedule · outpatient · +5 other terms | 34 | $1.1k | $1.5k | $611 | 42% | — | $523 – $2.8k |
| 17 | Caresource fee schedule · outpatient · +7 other terms | 28 | $1.1k | $1.2k | $275 | 22% | — | $877 – $1.7k |
| 18 | Carefirst facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 25 | $81 | $102 | $61 | 60% | — | $47 – $260 |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 19 | $1.1k | $1.1k | $12 | 1% | — | $1.1k – $1.1k |
| 20 | Regence facility · fee schedule · outpatient · +4 other terms | 19 | $1.2k | $1.1k | $91 | 8% | — | $916 – $1.2k |
| 21 | Amerihealth Caritas fee schedule · outpatient · +4 other terms | 18 | $1.4k | $1.3k | $75 | 6% | — | $1.1k – $1.4k |
| 22 | Bcbs Tx fee schedule · outpatient | 18 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 15 | $1.1k | $1.3k | $321 | 25% | — | $613 – $1.8k |
| 24 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $1.0k | $1.0k | $239 | 23% | — | $498 – $1.2k |
| 25 | Wellmark fee schedule · both · +2 other terms | 13 | $1.0k | $1.0k | $36 | 3% | — | $819 – $1.0k |
← Hospitals reporting HCPCS L3981 · Snapshot 20261111T120946Z-9134e7f7