Pediatric long leg fiberglass 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

HC SPLINT: LNG LEG FIBERGLS PEDS

Payers reporting HCPCS Q4044

Payer pricing summary

Low

Average

$36

Median

$25

High

$139

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +19 other terms	303	$22	$33	$35	105%	—	$10 – $167
2	UnitedHealthcare fee schedule · outpatient · +18 other terms	300	$22	$21	$4	17%	—	$1 – $26
3	Aetna fee schedule · outpatient · +18 other terms	275	$22	$26	$15	56%	—	$13 – $130
4	WellCare fee schedule · outpatient · +8 other terms	186	$22	$23	$4	16%	—	$14 – $42
5	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	182	$22	$26	$12	45%	—	$0 – $77
6	Devoted fee schedule · outpatient · +3 other terms	163	$22	$22	$0	2%	—	$21 – $23
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$22	$22	$1	3%	—	$22 – $24
8	Molina fee schedule · outpatient · +14 other terms	97	$31	$30	$12	40%	—	$10 – $57
9	Cigna fee schedule · outpatient · +16 other terms	79	$22	$25	$8	31%	—	$19 – $64
10	Anthem fee schedule · outpatient · +13 other terms	74	$21	$22	$2	10%	—	$14 – $35
11	Superior Healthplan fee schedule · outpatient	40	$23	$23	$0	0%	—	$21 – $23
12	Kaiser fee schedule · outpatient · +7 other terms	39	$21	$22	$1	2%	—	$21 – $22
13	Clover fee schedule · outpatient · +1 other terms	37	$22	$22	$1	3%	—	$21 – $23
14	Bcbs Tx fee schedule · outpatient	31	$20	$21	$6	29%	—	$15 – $75
15	Optum fee schedule · outpatient · +8 other terms	25	$22	$25	$11	42%	—	$21 – $54
16	Oscar fee schedule · outpatient · +8 other terms	24	$21	$22	$1	3%	—	$21 – $23
17	Caresource facility · case rate · outpatient · +6 other terms	20	$34	$36	$9	24%	—	$21 – $57
18	Medicare fee schedule · outpatient · +4 other terms	18	$21	$21	$0	1%	—	$21 – $21
19	Ambetter facility · fee schedule · outpatient · +9 other terms	17	$32	$35	$4	11%	—	$32 – $39
20	Amerihealth Caritas fee schedule · outpatient · +4 other terms	17	$26	$24	$5	20%	—	$11 – $26
21	Medcost professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms	14	$38	$60	$29	49%	—	$38 – $99
22	Medica professional · fee schedule · outpatient · +12 other terms	14	$23	$23	$2	7%	—	$21 – $31
23	Highmark facility · fee schedule · outpatient · +7 other terms	13	$40	$46	$32	70%	—	$20 – $146
24	Wellmark fee schedule · both · +4 other terms	13	$19	$19	$0	1%	—	$19 – $21
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$10	$15	$5	37%	—	$10 – $21

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