Custom hand and finger brace with elastic bands at Longs Peak 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

HB OT-CSTM-HFO-W/NONTORSION JT-LBR/SPLY

Longmont, CO

See all payers reporting HCPCS L3921 →

Payers reporting HCPCS L3921 at Longs Peak Hospital

Negotiated rates from the hospital’s own file: 10 payers, 22 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	Anthem commercial percent of total billed charges · inpatientfrom % of charges	$314	$314	—	—	—	$314 – $314
2	Anthem commercial percent of total billed charges · outpatientfrom % of charges	$314	$323	$58	18%	—	$247 – $426
3	Aetna medicare advantage fee schedule · outpatient	$356	$356	—	—	—	$356 – $356
4	Anthem medicare advantage fee schedule · outpatient	$356	$356	—	—	—	$356 – $356
5	Cigna medicare advantage fee schedule · outpatient	$356	$356	—	—	—	$356 – $356
6	Devoted medicare advantage fee schedule · outpatient	$356	$356	—	—	—	$356 – $356
7	Humana medicare advantage fee schedule · outpatient	$356	$356	—	—	—	$356 – $356
8	Kaiser medicare advantage fee schedule · outpatient	$356	$356	—	—	—	$356 – $356
9	UnitedHealthcare medicare advantage fee schedule · outpatient	$356	$356	—	—	—	$356 – $356
10	Anthem ppo percent of total billed charges · outpatientfrom % of charges	$365	$365	—	—	—	$365 – $365
11	Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges	$381	$381	$68	18%	—	$313 – $448
12	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$398	$398	—	—	—	$398 – $398
13	UnitedHealthcare select rates percent of total billed charges · outpatientfrom % of charges	$435	$435	—	—	—	$435 – $435
14	Cigna colorado rockies percent of total billed charges · outpatientfrom % of charges	$491	$491	—	—	—	$491 – $491
15	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$507	$507	—	—	—	$507 – $507
16	UnitedHealthcare broad networks percent of total billed charges · outpatientfrom % of charges	$523	$523	—	—	—	$523 – $523
17	Cigna local plus/surefit/connect percent of total billed charges · outpatientfrom % of charges	$571	$571	—	—	—	$571 – $571
18	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$583	$583	—	—	—	$583 – $583
19	Phcs commercial percent of total billed charges · outpatientfrom % of charges	$591	$591	—	—	—	$591 – $591
20	Cigna broad networks percent of total billed charges · outpatientfrom % of charges	$598	$598	—	—	—	$598 – $598
21	First Health commercial percent of total billed charges · inpatientfrom % of charges	$760	$760	—	—	—	$760 – $760
22	First Health commercial percent of total billed charges · outpatientfrom % of charges	$760	$760	—	—	—	$760 – $760