Ostomy belt for peristomal hernia support

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

Peristomal hernia supprt blt

Payers reporting HCPCS A4396

50 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	Humana fee schedule · outpatient · +10 other terms	299	$57.69	$87.96	$26.38 – $443.75
2	UnitedHealthcare fee schedule · outpatient · +11 other terms	288	$57.98	$55.65	$23.99 – $66.28
3	Aetna fee schedule · outpatient · +9 other terms	265	$58.18	$62.77	$25.50 – $345.59
4	WellCare fee schedule · outpatient · +4 other terms	184	$59.42	$61.35	$56.56 – $112.55
5	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	180	$58.84	$70.95	$0.29 – $260.24
6	Devoted fee schedule · outpatient · +2 other terms	163	$57.69	$57.89	$55.43 – $61.08
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$59.39	$58.70	$57.69 – $62.31
8	Molina fee schedule · outpatient · +4 other terms	96	$78.03	$79.25	$48.07 – $151.15
9	Cigna fee schedule · outpatient · +6 other terms	77	$58.84	$63.69	$55.43 – $144.23
10	Anthem fee schedule · outpatient · +6 other terms	73	$56.56	$57.89	$55.43 – $93.96
11	Superior Healthplan fee schedule · outpatient	40	$60.57	$60.55	$56.56 – $60.57
12	Kaiser fee schedule · outpatient · +4 other terms	39	$56.56	$57.13	$55.43 – $58.84
13	Clover fee schedule · outpatient · +1 other terms	37	$57.69	$58.52	$56.56 – $60.57
14	Bcbs Tx fee schedule · outpatient	31	$53.17	$54.37	$39.98 – $197.53
15	Optum fee schedule · outpatient · +1 other terms	25	$57.69	$66.85	$55.43 – $144.22
16	Oscar fee schedule · outpatient · +2 other terms	24	$56.54	$58.22	$56.54 – $60.57
17	Caresource facility · case rate · outpatient · +4 other terms	20	$36.63	$52.03	$22.50 – $115.38
18	Medicare fee schedule · outpatient · +1 other terms	18	$55.43	$55.63	$55.43 – $56.56
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$69.23	$68.58	$65.77 – $69.23
20	Wellmark fee schedule · both · +1 other terms	13	$50.90	$50.65	$41.42 – $50.90
21	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$27.17	$39.42	$27.17 – $56.56
22	Ambetter case rate · outpatient · +5 other terms	12	$82.01	$84.37	$82.01 – $90.50
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$49.12	$31.46	$0.01 – $61.46
24	Bcbs Nj fee schedule · outpatient	12	$56.56	$122.02	$56.56 – $250.23
25	Highmark fee schedule · outpatient · +4 other terms	10	$59.23	$61.26	$26.55 – $135.59

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