Passive hand mitt terminal device

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

Term dev, passive hand mitt

Payers reporting HCPCS L6703

Payer pricing summary

Low

$114

Average

$479

Median

$438

High

$1.1k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	361	$445	$506	$236	47%	—	$213 – $2.7k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	358	$443	$442	$101	23%	—	$195 – $1.3k
3	Humana fee schedule · outpatient · +13 other terms	319	$445	$636	$644	101%	—	$225 – $3.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	219	$454	$564	$302	54%	—	$0 – $2.0k
5	WellCare fee schedule · outpatient · +6 other terms	208	$433	$453	$110	24%	—	$397 – $1.0k
6	Devoted fee schedule · outpatient · +4 other terms	165	$444	$422	$23	5%	—	$405 – $541
7	Molina fee schedule · outpatient · +6 other terms	140	$596	$570	$210	37%	—	$312 – $1.1k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$453	$428	$32	8%	—	$405 – $546
9	Cigna fee schedule · outpatient · +11 other terms	104	$458	$497	$146	29%	—	$341 – $1.3k
10	Anthem fee schedule · outpatient · +7 other terms	80	$446	$603	$566	94%	—	$294 – $3.2k
11	Kaiser fee schedule · outpatient · +5 other terms	64	$462	$689	$460	67%	—	$404 – $3.0k
12	Superior Healthplan fee schedule · outpatient	41	$425	$421	$39	9%	—	$32 – $425
13	Clover fee schedule · outpatient · +3 other terms	37	$520	$483	$39	8%	—	$425 – $531
14	Oscar fee schedule · outpatient · +4 other terms	36	$467	$493	$119	24%	—	$397 – $748
15	Ambetter facility · fee schedule · outpatient · +7 other terms	34	$775	$834	$200	24%	—	$436 – $1.1k
16	Optum fee schedule · outpatient · +3 other terms	33	$445	$555	$198	36%	—	$405 – $1.0k
17	Caresource fee schedule · outpatient · +5 other terms	29	$445	$461	$122	26%	—	$243 – $666
18	Regence facility · fee schedule · outpatient · +4 other terms	19	$471	$443	$48	11%	—	$337 – $480
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$534	$519	$29	6%	—	$442 – $534
20	Bcbs Tx fee schedule · outpatient	18	$397	$397	—	—	—	$397 – $397
21	Medicare fee schedule · outpatient · +4 other terms	18	$435	$437	$3	1%	—	$435 – $444
22	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$431	$497	$123	25%	—	$234 – $681
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$392	$392	$91	23%	—	$191 – $459
24	Wellmark fee schedule · both · +3 other terms	13	$398	$396	$14	3%	—	$313 – $398
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$232	$317	$101	32%	—	$232 – $436

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