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
Term dev, passive hand mitt
Low
$55
Average
$308
Median
$405
High
$557
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 7 hospitals; the 90th percentile is 5.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Nationwide Children's Hospital Columbus, OH | $140 | $140 | — | — | — | $140 – $140 |
| 2 | Oneida Health ONEIDA, NY | $39 | $55 | $37 | 67% | — | $10 – $109 |
| 3 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $456 | $456 | — | — | — | $456 – $456 |
| 4 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $405 | $557 | $225 | 40% | — | $364 – $992 |
| 5 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $104 | $104 | $0 | 0% | — | $103 – $104 |
| 6 | Arkansas Childrens Hospital Little Rock, AR | $405 | $405 | — | — | — | $405 – $405 |
| 7 | Arkansas Childrens Northwest Springdale, AR | $440 | $440 | — | — | — | $440 – $440 |
Ask Claude or any MCP client for HCPCS L6703 pricing at a specific hospital — see how to connect.