Wrist brace for fracture support, 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

HB=EXO FRACTURE BRACE WRIST

Payers reporting HCPCS L3984

Payer pricing summary

Low

Average

$364

Median

$354

High

$1.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	380	$432	$431	$182	42%	—	$1 – $2.2k
2	Aetna fee schedule · outpatient · +21 other terms	367	$444	$495	$254	51%	—	$25 – $3.0k
3	Humana fee schedule · outpatient · +20 other terms	321	$444	$636	$656	103%	—	$62 – $3.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	224	$468	$578	$252	44%	—	$0 – $2.0k
5	WellCare fee schedule · outpatient · +11 other terms	206	$431	$446	$71	16%	—	$373 – $808
6	Devoted fee schedule · outpatient · +9 other terms	161	$436	$425	$25	6%	—	$406 – $526
7	Molina fee schedule · outpatient · +15 other terms	141	$598	$526	$196	37%	—	$239 – $1.1k
8	Cigna Healthspring fee schedule · outpatient · +4 other terms	116	$445	$429	$36	8%	—	$403 – $531
9	Cigna fee schedule · outpatient · +19 other terms	108	$472	$530	$334	63%	—	$93 – $2.1k
10	Anthem fee schedule · outpatient · +20 other terms	84	$445	$576	$509	88%	—	$171 – $2.9k
11	Kaiser fee schedule · outpatient · +13 other terms	66	$454	$721	$518	72%	—	$404 – $3.0k
12	Caresource fee schedule · outpatient · +9 other terms	40	$458	$297	$196	66%	—	$97 – $598
13	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$427	$427	$2	0%	—	$398 – $427
14	Ambetter facility · fee schedule · outpatient · +10 other terms	38	$733	$776	$305	39%	—	$19 – $1.1k
15	Clover fee schedule · outpatient · +3 other terms	37	$427	$436	$33	8%	—	$406 – $516
16	Oscar fee schedule · outpatient · +9 other terms	35	$481	$506	$152	30%	—	$398 – $877
17	Optum fee schedule · outpatient · +12 other terms	29	$436	$565	$212	38%	—	$373 – $1.0k
18	Medica facility · fee schedule · outpatient · +11 other terms	22	$355	$351	$108	31%	—	$121 – $776
19	Bcbs Tx fee schedule · outpatient · +3 other terms	19	$398	$381	$75	20%	—	$62 – $398
20	Medicare fee schedule · outpatient · +8 other terms	19	$427	$435	$8	2%	—	$427 – $445
21	Regence facility · fee schedule · outpatient · +9 other terms	19	$463	$437	$45	10%	—	$337 – $471
22	Amerihealth Caritas fee schedule · outpatient · +5 other terms	18	$550	$528	$48	9%	—	$395 – $550
23	Medical Mutual facility · fee schedule · outpatient · +6 other terms	15	$387	$448	$111	25%	—	$211 – $612
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$352	$352	$50	14%	—	$171 – $412
25	Ucare professional · fee schedule · outpatient · +12 other terms	13	$202	$208	$74	35%	—	$157 – $426

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