Perianal fecal collection pouch with adhesive

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

HCHG FECAL MANAGEMENT SYSTEM, 30036

Payers reporting HCPCS A4330

Payer pricing summary

Low

Average

$35

Median

$15

High

$382

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +13 other terms	292	$10	$15	$16	108%	—	$5 – $78
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	288	$10	$10	$1	14%	—	$4 – $11
3	Aetna fee schedule · outpatient · +12 other terms	265	$10	$11	$5	49%	—	$5 – $60
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	188	$10	$12	$5	44%	—	$1 – $43
5	WellCare fee schedule · outpatient · +6 other terms	185	$10	$11	$2	17%	—	$9 – $20
6	Devoted fee schedule · outpatient · +3 other terms	162	$10	$10	$0	4%	—	$9 – $11
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$10	$10	$0	4%	—	$9 – $11
8	Molina fee schedule · outpatient · +11 other terms	95	$14	$14	$5	39%	—	$7 – $26
9	Cigna fee schedule · outpatient · +14 other terms	76	$10	$11	$3	25%	—	$9 – $22
10	Anthem fee schedule · outpatient · +9 other terms	74	$10	$10	$1	10%	—	$9 – $16
11	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$11	$11	$0	0%	—	$10 – $11
12	Kaiser fee schedule · outpatient · +8 other terms	39	$10	$10	$0	2%	—	$10 – $10
13	Clover fee schedule · outpatient · +2 other terms	36	$10	$10	$0	3%	—	$10 – $11
14	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$9	$10	$3	29%	—	$7 – $35
15	Optum fee schedule · outpatient · +4 other terms	25	$10	$11	$5	46%	—	$9 – $25
16	Oscar fee schedule · outpatient · +4 other terms	24	$10	$10	$0	4%	—	$10 – $11
17	Caresource facility · case rate · outpatient · +6 other terms	20	$16	$17	$4	24%	—	$10 – $27
18	Medicare fee schedule · outpatient · +1 other terms	18	$10	$9	$1	8%	—	$8 – $10
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	16	$12	$12	$0	2%	—	$12 – $12
20	Wellmark fee schedule · both · +1 other terms	13	$9	$9	$0	3%	—	$7 – $9
21	Aetna Better Health fee schedule · outpatient · +6 other terms	12	$5	$7	$3	38%	—	$5 – $10
22	Ambetter case rate · outpatient · +8 other terms	12	$14	$15	$1	5%	—	$14 – $16
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$8	$6	$4	78%	—	$0 – $10
24	Bcbs Nj fee schedule · outpatient	12	$8	$16	$14	84%	—	$7 – $44
25	Highmark fee schedule · outpatient · +5 other terms	12	$10	$11	$4	36%	—	$5 – $24

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