Replacement breast pump tubing

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

TUBING FOR BREAST PUMP; REPLACEMENT

Payers reporting HCPCS A4281

Payer pricing summary

Low

Average

$16

Median

$12

High

$37

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +7 other terms	38	$59	$57	$37	65%	—	$12 – $154
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	32	$12	$14	$12	89%	—	$4 – $72
3	Cigna facility · fee schedule · outpatient · +5 other terms	18	$9	$13	$8	61%	—	$4 – $33
4	Anthem facility · case rate · outpatient · +6 other terms	15	$33	$36	$8	23%	—	$23 – $56
5	Caresource facility · case rate · outpatient · +1 other terms	15	$34	$36	$8	23%	—	$23 – $57
6	Molina facility · case rate · outpatient · +3 other terms	15	$33	$36	$8	23%	—	$23 – $56
7	UnitedHealthcare fee schedule · outpatient · +5 other terms	15	$25	$24	$2	8%	—	$21 – $25
8	Wellmark fee schedule · both · +1 other terms	13	$11	$11	$1	7%	—	$11 – $16
9	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$12	$9	$5	55%	—	$4 – $15
10	Optum facility · case rate · outpatient · +1 other terms	11	$31	$34	$8	22%	—	$28 – $51
11	Highmark fee schedule · outpatient · +2 other terms	10	$6	$6	—	—	—	$6 – $6
12	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$21	$21	—	—	—	$21 – $21
13	Humana fee schedule · inpatient · +2 other terms	5	$20	$20	—	—	—	$20 – $20
14	Amerihealth Caritas professional · fee schedule · outpatient · +1 other terms	3	$7	$7	$1	18%	—	$6 – $9
15	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$12	$13	$1	6%	—	$12 – $14
16	First Health professional · fee schedule · both · +2 other terms	3	$22	$22	—	—	—	$22 – $22
17	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$2	$2	—	—	—	$2 – $2
18	Tricare facility · fee schedule · outpatient	2	$11	$11	—	—	—	$11 – $11
19	Bcbs Id facility · fee schedule · outpatient	1	$5	$5	—	—	—	$5 – $5
20	Bcbs Il professional · fee schedule · both	1	$16	$16	—	—	—	$16 – $16
21	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
22	Bcbs Nc facility · fee schedule · outpatient	1	$19	$19	—	—	—	$19 – $19
23	Bcbs Nv fee schedule · outpatient	1	$2	$2	—	—	—	$2 – $2
24	Bcbs Vt facility · fee schedule · outpatient · +2 other terms	1	$22	$22	$2	10%	—	$21 – $25
25	Healthpartners facility · fee schedule · outpatient	1	$33	$33	—	—	—	$33 – $33

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