Prefabricated wrist, hand and finger orthosis with joints at BSA Hospital

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 Anti-Trigger/Mp Block

Amarillo, TX

See all hospitals reporting HCPCS L3931 →

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Pricing by billing methodology

Price type

How this price compares nationally

BSA Hospital’s median price of $116 is 50% below the median hospital's median price ($233), higher than 11% of the 1,123 hospitals reporting HCPCS L3931. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3931 at BSA Hospital

Negotiated rates from the hospital’s own file: 10 payers, 26 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	$65	$80	$38	48%	—	$43 – $132
2	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$65	$80	$38	48%	—	$43 – $132
3	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$65	$80	$38	48%	—	$43 – $132
4	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$65	$80	$38	48%	—	$43 – $132
5	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$65	$80	$38	48%	—	$43 – $132
6	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$65	$80	$38	48%	—	$43 – $132
7	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$65	$80	$38	48%	—	$43 – $132
8	UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges	$71	$87	$42	48%	—	$47 – $145
9	Blue Cross Blue Shield blue cross healthselect of texas [115530] facility · percent of total billed charges · bothfrom % of charges	$80	$98	$47	48%	—	$52 – $162
10	Blue Cross Blue Shield blue cross advantage hmo of texas [115525] facility · percent of total billed charges · bothfrom % of charges	$85	$104	$50	48%	—	$56 – $172
11	Blue Cross Blue Shield blue cross preferred ppo of texas [115526] facility · percent of total billed charges · bothfrom % of charges	$95	$116	$55	48%	—	$62 – $193
12	Blue Cross Blue Shield blue cross traditional of texas [115503] facility · percent of total billed charges · bothfrom % of charges	$95	$116	$55	48%	—	$62 – $193
13	UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges	$102	$125	$60	48%	—	$67 – $207
14	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$102	$125	$60	48%	—	$67 – $207
15	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$108	$133	$63	48%	—	$71 – $220
16	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$116	$143	$68	48%	—	$76 – $237
17	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$116	$143	$68	48%	—	$76 – $237
18	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$116	$143	$68	48%	—	$76 – $237
19	Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges	$121	$148	$71	48%	—	$79 – $245
20	Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges	$121	$148	$71	48%	—	$79 – $245
21	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$121	$149	$71	48%	—	$79 – $246
22	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$125	$153	$73	48%	—	$82 – $254
23	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$125	$153	$73	48%	—	$82 – $254
24	Cigna cigna pantex [126003] facility · percent of total billed charges · bothfrom % of charges	$159	$159	—	—	—	$159 – $159
25	Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges	$141	$174	$83	48%	—	$93 – $287

Page 1 of 2 · 26 rates

Last updated: Feb 12, 2026

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See Prefabricated wrist, hand and finger orthosis with joints pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.