Plaster gauntlet cast supplies for adult

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

Cast Supply Gauntlet Ad P

Payers reporting HCPCS Q4013

Payer pricing summary

Low

$10

Average

$23

Median

$20

High

$44

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +20 other terms	299	$20	$31	$32	105%	—	$9 – $154
2	UnitedHealthcare fee schedule · outpatient · +19 other terms	295	$20	$19	$3	14%	—	$8 – $24
3	Aetna fee schedule · outpatient · +19 other terms	274	$20	$24	$13	56%	—	$10 – $120
4	WellCare fee schedule · outpatient · +8 other terms	184	$21	$21	$3	16%	—	$20 – $39
5	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	180	$20	$24	$11	45%	—	$0 – $71
6	Devoted fee schedule · outpatient · +4 other terms	163	$20	$20	$0	2%	—	$19 – $21
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$21	$20	$1	3%	—	$20 – $22
8	Molina fee schedule · outpatient · +12 other terms	96	$28	$27	$11	40%	—	$10 – $53
9	Cigna fee schedule · outpatient · +17 other terms	79	$20	$23	$7	30%	—	$19 – $59
10	Anthem fee schedule · outpatient · +12 other terms	73	$20	$20	$2	8%	—	$19 – $33
11	Superior Healthplan fee schedule · outpatient	40	$21	$21	$0	0%	—	$20 – $21
12	Kaiser fee schedule · outpatient · +7 other terms	39	$20	$20	$0	2%	—	$19 – $20
13	Clover fee schedule · outpatient · +3 other terms	37	$20	$20	$1	3%	—	$20 – $21
14	Bcbs Tx fee schedule · outpatient	31	$19	$19	$6	29%	—	$14 – $69
15	Optum fee schedule · outpatient · +8 other terms	25	$20	$23	$10	42%	—	$19 – $50
16	Oscar fee schedule · outpatient · +8 other terms	24	$20	$20	$1	3%	—	$20 – $21
17	Caresource facility · case rate · outpatient · +7 other terms	20	$11	$17	$11	63%	—	$7 – $40
18	Medicare fee schedule · outpatient · +3 other terms	18	$19	$19	$0	1%	—	$19 – $20
19	Amerihealth Caritas fee schedule · outpatient · +5 other terms	17	$24	$22	$4	20%	—	$10 – $24
20	Ambetter facility · fee schedule · outpatient · +9 other terms	16	$33	$33	$4	11%	—	$29 – $36
21	Medcost professional · percent of total billed charges · outpatientfrom % of charges	14	$34	$43	$12	28%	—	$34 – $60
22	Medica professional · fee schedule · outpatient · +7 other terms	14	$21	$21	$1	4%	—	$20 – $23
23	Wellmark fee schedule · both · +4 other terms	13	$18	$18	$0	1%	—	$18 – $19
24	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$9	$14	$5	37%	—	$9 – $20
25	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$18	$18	$5	26%	—	$9 – $21

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