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.
Original text from hospital filings
SPLINT ORTHOPEDIC LMB SOFT CORE WIRE-FOAM MEDIUM OD2 7/8-3 1/4 IN HAND RIGHT 2 STRAP SECURE FINGER TAB NONSTERILE LATEX FREE ULNAR DEVIATION
Amarillo, TX
See all hospitals reporting HCPCS L3809 →Price type
BSA Hospital’s median price of $69 is 75% below the median hospital's median price ($276), higher than 15% of the 1,312 hospitals reporting HCPCS L3809. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 18 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 3 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 4 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 5 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 6 | UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 7 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 8 | Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 9 | Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 10 | Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 11 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 12 | Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 13 | Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 14 | UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 15 | Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 16 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 17 | Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 18 | MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
Last updated: Feb 12, 2026
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