Replacement breast pump lock ring

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 breastpump lok ring

Payers reporting HCPCS A4286

Payer pricing summary

Low

Average

$12

Median

High

$38

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +5 other terms	38	$30	$28	$19	68%	—	$5 – $77
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	29	$6	$9	$6	70%	—	$4 – $30
3	Cigna facility · fee schedule · outpatient · +2 other terms	17	$4	$5	$2	40%	—	$3 – $9
4	Anthem facility · case rate · outpatient · +4 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 · +1 other terms	15	$33	$36	$8	23%	—	$23 – $56
7	UnitedHealthcare fee schedule · outpatient · +3 other terms	15	$7	$6	$1	24%	—	$3 – $7
8	Wellmark fee schedule · both · +1 other terms	13	$6	$6	—	—	—	$6 – $6
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	$2	$2	—	—	—	$2 – $2
12	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$10	$10	—	—	—	$10 – $10
13	Humana fee schedule · inpatient · +2 other terms	5	$10	$10	—	—	—	$10 – $10
14	Amerihealth Caritas professional · fee schedule · outpatient	3	$2	$2	$0	2%	—	$2 – $2
15	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$4	$4	$0	6%	—	$4 – $4
16	First Health professional · fee schedule · both	3	$11	$11	—	—	—	$11 – $11
17	Tricare facility · fee schedule · outpatient	2	$2	$2	—	—	—	$2 – $2
18	Bcbs Il professional · fee schedule · both	1	$6	$6	—	—	—	$6 – $6
19	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
20	Bcbs Nc facility · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
21	Bcbs Nv fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
22	Bcbs Vt professional · fee schedule · outpatient	1	$18	$18	$7	40%	—	$8 – $25