Prosthetic hand glove, 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

Prefab glove for term device

Payers reporting HCPCS L6890

Payer pricing summary

Low

$72

Average

$279

Median

$258

High

$587

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +12 other terms	361	$226	$269	$138	51%	—	$100 – $1.5k
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	358	$221	$223	$63	28%	—	$88 – $754
3	Humana fee schedule · outpatient · +12 other terms	319	$220	$336	$364	108%	—	$129 – $1.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	219	$226	$316	$183	58%	—	$0 – $1.1k
5	WellCare fee schedule · outpatient · +6 other terms	208	$232	$241	$57	24%	—	$204 – $542
6	Devoted fee schedule · outpatient · +3 other terms	165	$222	$224	$12	5%	—	$208 – $283
7	Molina fee schedule · outpatient · +5 other terms	140	$331	$314	$118	38%	—	$151 – $591
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$223	$225	$8	4%	—	$208 – $286
9	Cigna fee schedule · outpatient · +11 other terms	104	$221	$254	$81	32%	—	$179 – $721
10	Anthem fee schedule · outpatient · +8 other terms	80	$218	$316	$331	105%	—	$142 – $1.8k
11	Kaiser fee schedule · outpatient · +6 other terms	64	$227	$380	$270	71%	—	$214 – $1.7k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	46	$394	$406	$82	20%	—	$178 – $521
13	Superior Healthplan fee schedule · outpatient	40	$237	$237	$1	0%	—	$221 – $237
14	Clover fee schedule · outpatient · +3 other terms	37	$272	$247	$26	10%	—	$208 – $278
15	Oscar fee schedule · outpatient · +6 other terms	36	$221	$271	$88	32%	—	$219 – $472
16	Optum fee schedule · outpatient · +3 other terms	33	$214	$293	$121	41%	—	$208 – $564
17	Caresource fee schedule · outpatient · +5 other terms	29	$208	$233	$81	35%	—	$114 – $380
18	Regence facility · fee schedule · outpatient · +4 other terms	19	$231	$225	$13	6%	—	$189 – $236
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$250	$244	$12	5%	—	$212 – $250
20	Bcbs Tx fee schedule · outpatient	18	$221	$221	—	—	—	$221 – $221
21	Medicare fee schedule · outpatient · +3 other terms	18	$214	$215	$2	1%	—	$214 – $218
22	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$246	$283	$70	25%	—	$134 – $389
23	Tricare facility · fee schedule · outpatient · +2 other terms	15	$208	$225	$28	13%	—	$204 – $278
24	Highmark facility · fee schedule · outpatient · +4 other terms	14	$385	$391	$168	43%	—	$200 – $730
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$224	$224	$52	23%	—	$109 – $262

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