Ostomy irrigation supply kit

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

Ostomy irrigation set

Payers reporting HCPCS A4400

Payer pricing summary

Low

$31

Average

$83

Median

$69

High

$335

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +10 other terms	299	$63	$101	$113	112%	—	$29 – $536
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	291	$61	$60	$13	21%	—	$22 – $87
3	Aetna fee schedule · outpatient · +11 other terms	265	$61	$71	$41	58%	—	$26 – $510
4	WellCare fee schedule · outpatient · +5 other terms	184	$68	$71	$13	19%	—	$58 – $136
5	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	183	$66	$82	$41	50%	—	$0 – $284
6	Devoted fee schedule · outpatient · +2 other terms	163	$59	$66	$5	8%	—	$57 – $74
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$63	$67	$4	6%	—	$59 – $72
8	Molina fee schedule · outpatient · +6 other terms	96	$87	$94	$37	39%	—	$55 – $182
9	Anthem fee schedule · outpatient · +7 other terms	78	$59	$35	$22	64%	—	$3 – $113
10	Cigna fee schedule · outpatient · +10 other terms	77	$61	$70	$20	29%	—	$57 – $148
11	Superior Healthplan fee schedule · outpatient	40	$73	$73	$0	0%	—	$68 – $73
12	Kaiser fee schedule · outpatient · +5 other terms	39	$58	$59	$2	3%	—	$57 – $68
13	Clover fee schedule · outpatient · +1 other terms	37	$68	$67	$4	7%	—	$59 – $73
14	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$64	$66	$19	29%	—	$48 – $238
15	Optum fee schedule · outpatient · +1 other terms	25	$59	$72	$37	51%	—	$57 – $174
16	Oscar fee schedule · outpatient · +4 other terms	24	$68	$66	$3	5%	—	$62 – $68
17	Caresource facility · case rate · outpatient · +4 other terms	20	$32	$54	$39	73%	—	$20 – $139
18	Medicare fee schedule · outpatient	18	$57	$60	$3	5%	—	$57 – $63
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	16	$71	$70	$1	2%	—	$67 – $71
20	Wellmark fee schedule · both · +2 other terms	13	$55	$55	$2	3%	—	$45 – $55
21	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$30	$45	$18	40%	—	$30 – $65
22	Ambetter case rate · outpatient · +5 other terms	12	$90	$92	$6	7%	—	$87 – $109
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$59	$38	$33	86%	—	$0 – $74
24	Bcbs Nj fee schedule · outpatient	12	$68	$147	$100	68%	—	$68 – $302
25	Highmark fee schedule · outpatient · +5 other terms	10	$72	$74	$26	36%	—	$32 – $164

Page 1 of 2 · 50 payers