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
Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated
SAN ANTONIO, TX
See all hospitals reporting HCPCS L3901 →Price type
Methodist Hospital’s median price of $1.8k is 14% below the median hospital's median price ($2.1k), higher than 19% of the 891 hospitals reporting HCPCS L3901. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 36 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 | First Health chip percent of total billed charges · outpatientfrom % of charges | $447 | $447 | — | — | — | $447 – $447 |
| 2 | First Health chipperinate percent of total billed charges · outpatientfrom % of charges | $447 | $447 | — | — | — | $447 – $447 |
| 3 | First Health mcdstar percent of total billed charges · outpatientfrom % of charges | $447 | $447 | — | — | — | $447 – $447 |
| 4 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $934 | $934 | — | — | — | $934 – $934 |
| 5 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Blue Cross Blue Shield healthselectopenaccess(eposoa) percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 14 | Blue Cross Blue Shield mgmcrpos fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | Blue Cross Blue Shield mgmcrppo fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | Devoted dualeligible fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | Devoted mcrhmo fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | Devoted mcrpffs fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 19 | Devoted mcrpos fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 20 | Devoted mcrppo fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 21 | Devoted mcrsnp fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | Aetna mcr fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 23 | UnitedHealthcare mcr fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 24 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 25 | WellCare mcrhmo fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: May 1, 2026
See Custom-made wrist and finger brace with cable-driven motion pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.