Short arm splint for children, fiberglass

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

HC SPLINT - SHORT ARM CHILD

Payers reporting HCPCS Q4024

Payer pricing summary

Low

Average

$17

Median

$11

High

$113

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +20 other terms	306	$8	$12	$13	108%	—	$4 – $98
2	UnitedHealthcare fee schedule · outpatient · +21 other terms	304	$8	$7	$1	19%	—	$1 – $16
3	Aetna fee schedule · outpatient · +19 other terms	277	$8	$10	$8	75%	—	$6 – $79
4	WellCare fee schedule · outpatient · +11 other terms	186	$8	$8	$1	16%	—	$7 – $15
5	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	184	$8	$9	$4	44%	—	$0 – $27
6	Devoted fee schedule · outpatient · +7 other terms	163	$8	$8	$0	2%	—	$7 – $8
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$8	$8	$0	3%	—	$8 – $8
8	Molina fee schedule · outpatient · +13 other terms	100	$11	$11	$5	42%	—	$4 – $33
9	Cigna fee schedule · outpatient · +18 other terms	80	$8	$9	$3	33%	—	$7 – $23
10	Anthem fee schedule · outpatient · +16 other terms	75	$8	$8	$1	16%	—	$7 – $14
11	Superior Healthplan fee schedule · outpatient	40	$8	$8	$0	0%	—	$8 – $8
12	Kaiser fee schedule · outpatient · +11 other terms	39	$8	$8	$0	2%	—	$7 – $8
13	Clover fee schedule · outpatient · +2 other terms	37	$8	$8	$0	3%	—	$8 – $8
14	Bcbs Tx fee schedule · outpatient	31	$7	$7	$2	29%	—	$5 – $27
15	Optum fee schedule · outpatient · +9 other terms	25	$8	$9	$4	42%	—	$7 – $19
16	Oscar fee schedule · outpatient · +10 other terms	24	$8	$8	$0	3%	—	$8 – $8
17	Caresource facility · case rate · outpatient · +7 other terms	20	$11	$11	$3	25%	—	$7 – $17
18	Ambetter facility · fee schedule · outpatient · +10 other terms	18	$11	$12	$1	11%	—	$11 – $14
19	Amerihealth Caritas fee schedule · outpatient · +4 other terms	18	$9	$9	$2	23%	—	$4 – $14
20	Medicare fee schedule · outpatient · +5 other terms	18	$7	$7	$0	1%	—	$7 – $8
21	Medica professional · fee schedule · outpatient · +15 other terms	15	$8	$8	$2	21%	—	$7 – $18
22	Medcost professional · percent of total billed charges · outpatientfrom % of charges	14	$18	$24	$8	35%	—	$18 – $36
23	Highmark facility · fee schedule · outpatient · +9 other terms	13	$14	$16	$11	70%	—	$7 – $52
24	Wellmark fee schedule · both · +8 other terms	13	$7	$7	$0	1%	—	$7 – $7
25	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$4	$5	$2	37%	—	$4 – $8

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