Custom hand and finger brace with elastic bands at Carle BroMenn Medical Center

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

Hfo W/Joint(S) Cf

Normal, IL

See all payers reporting HCPCS L3921 →

Payers reporting HCPCS L3921 at Carle BroMenn Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 23 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	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
4	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
5	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$118	$118	—	—	—	$118 – $118
6	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$129	$129	—	—	—	$129 – $129
7	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$132	$132	—	—	—	$132 – $132
8	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
9	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
10	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
11	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
12	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$161	$161	—	—	—	$161 – $161
13	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$184	$184	—	—	—	$184 – $184
14	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$184	$184	—	—	—	$184 – $184
15	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$190	$190	—	—	—	$190 – $190
16	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$190	$190	—	—	—	$190 – $190
17	Aetna medicare advantage case rate · outpatient	$359	$359	—	—	—	$359 – $359
18	Blue Cross Blue Shield medicare advantage case rate · outpatient	$359	$359	—	—	—	$359 – $359
19	Humana medicare advantage case rate · outpatient	$359	$359	—	—	—	$359 – $359
20	Molina medicare-medicaid (d-snp) case rate · outpatient	$359	$359	—	—	—	$359 – $359
21	UnitedHealthcare medicare advantage case rate · outpatient	$359	$359	—	—	—	$359 – $359
22	UnitedHealthcare va ccn/optum case rate · outpatient	$359	$359	—	—	—	$359 – $359
23	WellCare medicare advantage hmo case rate · outpatient	$359	$359	—	—	—	$359 – $359