Pediatric long arm plaster splint supplies

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 SUP LNG ARM SPLNT PED P

Payers reporting HCPCS Q4019

Payer pricing summary

Low

Average

$14

Median

High

$123

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	306	$6	$6	$1	22%	—	$1 – $21
2	Humana fee schedule · outpatient · +19 other terms	305	$6	$9	$9	105%	—	$3 – $45
3	Aetna fee schedule · outpatient · +17 other terms	279	$6	$7	$4	56%	—	$4 – $35
4	WellCare fee schedule · outpatient · +7 other terms	189	$6	$6	$1	16%	—	$6 – $11
5	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	180	$6	$7	$3	45%	—	$0 – $21
6	Devoted fee schedule · outpatient · +3 other terms	163	$6	$6	$0	2%	—	$6 – $6
7	Cigna Healthspring fee schedule · outpatient · +3 other terms	121	$6	$6	$0	3%	—	$6 – $6
8	Molina fee schedule · outpatient · +13 other terms	102	$7	$8	$4	46%	—	$3 – $34
9	Cigna fee schedule · outpatient · +15 other terms	79	$6	$7	$2	30%	—	$6 – $17
10	Anthem fee schedule · outpatient · +14 other terms	74	$6	$6	$2	29%	—	$6 – $21
11	Superior Healthplan fee schedule · outpatient	40	$6	$6	$0	0%	—	$6 – $6
12	Kaiser fee schedule · outpatient · +5 other terms	39	$6	$6	$0	2%	—	$6 – $6
13	Clover fee schedule · outpatient · +1 other terms	37	$6	$6	$0	3%	—	$6 – $6
14	Bcbs Tx fee schedule · outpatient	31	$5	$5	$2	29%	—	$4 – $20
15	Optum fee schedule · outpatient · +8 other terms	30	$6	$7	$3	40%	—	$6 – $15
16	Oscar fee schedule · outpatient · +8 other terms	24	$6	$6	$0	3%	—	$6 – $6
17	Caresource facility · case rate · outpatient · +6 other terms	20	$15	$15	$5	34%	—	$6 – $27
18	Amerihealth Caritas fee schedule · outpatient · +5 other terms	18	$7	$7	$4	50%	—	$3 – $21
19	Medicare fee schedule · outpatient · +5 other terms	18	$6	$6	$0	1%	—	$6 – $6
20	Ambetter facility · fee schedule · outpatient · +7 other terms	17	$8	$9	$1	11%	—	$8 – $10
21	Wellmark fee schedule · both · +4 other terms	13	$5	$5	$0	1%	—	$5 – $6
22	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$3	$4	$1	37%	—	$3 – $6
23	Bcbs Mn fee schedule · outpatient · +6 other terms	12	$5	$5	$1	26%	—	$3 – $6
24	Bcbs Nj fee schedule · outpatient	12	$6	$12	$8	68%	—	$6 – $25
25	Highmark fee schedule · outpatient · +7 other terms	12	$6	$6	$2	38%	—	$3 – $17

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