Fiberglass gauntlet cast supplies for adults

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 SUPPLIES; GAUNTLET CAST (INCLUDES LOWER FOREARM AND HAND); ADULT (11+ YEARS); FIBERGLASS

Payers reporting HCPCS Q4014

Payer pricing summary

Low

$18

Average

$38

Median

$34

High

$75

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +18 other terms	308	$34	$51	$54	105%	—	$15 – $260
2	UnitedHealthcare fee schedule · outpatient · +22 other terms	303	$34	$33	$5	16%	—	$4 – $41
3	Aetna fee schedule · outpatient · +20 other terms	281	$34	$40	$23	57%	—	$4 – $203
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	188	$35	$41	$19	46%	—	$0 – $120
5	WellCare fee schedule · outpatient · +8 other terms	187	$35	$36	$6	16%	—	$20 – $66
6	Devoted fee schedule · outpatient · +5 other terms	163	$34	$34	$1	2%	—	$33 – $36
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$35	$34	$1	3%	—	$34 – $37
8	Molina fee schedule · outpatient · +13 other terms	97	$48	$46	$19	40%	—	$16 – $89
9	Cigna fee schedule · outpatient · +17 other terms	86	$35	$36	$13	36%	—	$13 – $99
10	Anthem fee schedule · outpatient · +13 other terms	75	$33	$34	$4	10%	—	$19 – $55
11	Superior Healthplan fee schedule · outpatient	40	$36	$36	$0	0%	—	$33 – $36
12	Kaiser fee schedule · outpatient · +8 other terms	39	$33	$34	$1	2%	—	$33 – $35
13	Clover fee schedule · outpatient · +3 other terms	37	$34	$34	$1	3%	—	$33 – $36
14	Bcbs Tx fee schedule · outpatient	31	$31	$32	$9	29%	—	$23 – $116
15	Optum fee schedule · outpatient · +10 other terms	25	$34	$39	$16	42%	—	$33 – $85
16	Oscar fee schedule · outpatient · +10 other terms	24	$33	$34	$1	3%	—	$33 – $36
17	Caresource facility · case rate · outpatient · +7 other terms	20	$37	$41	$13	32%	—	$23 – $68
18	Medicare fee schedule · outpatient · +6 other terms	18	$33	$33	$0	1%	—	$33 – $33
19	Ambetter facility · fee schedule · outpatient · +8 other terms	17	$49	$55	$6	11%	—	$49 – $61
20	Amerihealth Caritas fee schedule · outpatient · +8 other terms	17	$41	$38	$8	20%	—	$16 – $41
21	Highmark facility · fee schedule · outpatient · +9 other terms	13	$62	$73	$50	68%	—	$31 – $227
22	Tricare facility · fee schedule · outpatient · +7 other terms	13	$34	$38	$10	26%	—	$30 – $70
23	Wellmark fee schedule · both · +3 other terms	13	$30	$30	$0	1%	—	$30 – $32
24	Aetna Better Health fee schedule · outpatient · +5 other terms	12	$16	$23	$9	37%	—	$16 – $33
25	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$30	$30	$8	26%	—	$15 – $36

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