Ostomy belt

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

BELT OSTOMY LG 34-65IN

Payers reporting HCPCS A4367

Payer pricing summary

Low

Average

$20

Median

$10

High

$294

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +15 other terms	306	$10	$15	$15	104%	—	$0 – $75
2	UnitedHealthcare fee schedule · outpatient · +18 other terms	296	$10	$9	$2	20%	—	$0 – $12
3	Aetna fee schedule · outpatient · +15 other terms	275	$10	$11	$5	51%	—	$0 – $60
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	194	$11	$12	$7	56%	—	$0 – $47
5	WellCare fee schedule · outpatient · +6 other terms	185	$10	$10	$2	19%	—	$9 – $20
6	Devoted fee schedule · outpatient · +5 other terms	162	$10	$10	$0	4%	—	$9 – $11
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$10	$10	$1	6%	—	$9 – $11
8	Molina fee schedule · outpatient · +11 other terms	96	$14	$13	$5	38%	—	$9 – $25
9	Cigna fee schedule · outpatient · +15 other terms	86	$10	$10	$4	42%	—	$1 – $37
10	Anthem fee schedule · outpatient · +10 other terms	72	$10	$12	$6	46%	—	$9 – $32
11	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$10	$10	$0	0%	—	$10 – $10
12	Kaiser fee schedule · outpatient · +8 other terms	39	$10	$10	$0	2%	—	$10 – $11
13	Clover fee schedule · outpatient · +2 other terms	36	$10	$10	$0	2%	—	$10 – $10
14	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$9	$9	$3	29%	—	$7 – $33
15	Optum fee schedule · outpatient · +5 other terms	25	$10	$11	$5	41%	—	$9 – $24
16	Oscar fee schedule · outpatient · +5 other terms	24	$10	$10	$1	7%	—	$10 – $11
17	Carefirst facility · percent of total billed charges · bothfrom % of charges	21	$1	$2	$1	53%	—	$1 – $4
18	Caresource facility · case rate · outpatient · +6 other terms	20	$16	$17	$4	24%	—	$10 – $27
19	Medicare fee schedule · outpatient · +3 other terms	18	$10	$10	$0	1%	—	$10 – $10
20	Amerihealth Caritas fee schedule · outpatient · +3 other terms	16	$13	$12	$1	8%	—	$10 – $13
21	Medcost facility · percent of total billed charges · bothfrom % of charges · +4 other terms	15	$2	$2	$3	103%	—	$1 – $12
22	Aetna Better Health fee schedule · outpatient · +5 other terms	13	$5	$8	$3	37%	—	$5 – $10
23	Wellmark fee schedule · both · +5 other terms	13	$8	$8	$0	2%	—	$7 – $8
24	Ambetter case rate · outpatient · +7 other terms	12	$14	$15	$1	5%	—	$14 – $16
25	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$9	$6	$5	79%	—	$0 – $11

Page 1 of 3 · 53 payers