Replacement breast pump shield

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

Replcmnt breast pump shield

Payers reporting HCPCS A4284

Payer pricing summary

Low

Average

$16

Median

$13

High

$51

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +7 other terms	71	$39	$63	$41	65%	—	$5 – $115
2	Aetna fee schedule · outpatient · +9 other terms	38	$13	$23	$22	94%	—	$6 – $84
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	32	$12	$14	$14	100%	—	$4 – $88
4	UnitedHealthcare fee schedule · both · +10 other terms	26	$7	$13	$8	62%	—	$7 – $33
5	Cigna facility · fee schedule · outpatient · +5 other terms	18	$4	$7	$8	114%	—	$2 – $41
6	Anthem facility · case rate · outpatient · +8 other terms	15	$33	$36	$8	23%	—	$23 – $56
7	Caresource facility · case rate · outpatient · +1 other terms	15	$34	$36	$8	23%	—	$23 – $57
8	Molina facility · case rate · outpatient · +5 other terms	15	$33	$36	$8	23%	—	$23 – $56
9	Wellmark fee schedule · both · +2 other terms	13	$3	$3	$2	54%	—	$3 – $15
10	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$34	$26	$14	55%	—	$12 – $43
11	Regence fee schedule · outpatient · +2 other terms	12	$13	$15	$4	26%	—	$10 – $35
12	Optum facility · case rate · outpatient · +1 other terms	11	$31	$34	$8	22%	—	$28 – $51
13	Highmark fee schedule · outpatient · +2 other terms	10	$8	$8	—	—	—	$8 – $8
14	Medica fee schedule · outpatient · +5 other terms	10	$24	$24	$6	26%	—	$14 – $31
15	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$5	$5	—	—	—	$5 – $5
16	Amerihealth Caritas professional · fee schedule · outpatient · +1 other terms	3	$15	$15	$0	2%	—	$15 – $15
17	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$18	$19	$1	6%	—	$18 – $20
18	First Health professional · fee schedule · both · +4 other terms	3	$7	$7	—	—	—	$7 – $7
19	Kaiser fee schedule · both	2	$32	$32	—	—	—	$32 – $32
20	Oscar facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$9	$9	—	—	—	$9 – $9
21	Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$13	$13	—	—	—	$13 – $13
22	Tricare facility · fee schedule · outpatient · +1 other terms	2	$11	$11	—	—	—	$11 – $11
23	Bcbs Id facility · fee schedule · outpatient · +1 other terms	1	$12	$12	—	—	—	$12 – $12
24	Bcbs Il professional · fee schedule · both	1	$15	$15	—	—	—	$15 – $15
25	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0

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