Urinary ostomy pouch with barrier and faucet valve

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

Urine ost pouch w bltinconv

Payers reporting HCPCS A4429

Payer pricing summary

Low

Average

$13

Median

$12

High

$40

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +9 other terms	299	$12	$18	$19	105%	—	$5 – $90
2	UnitedHealthcare fee schedule · outpatient · +10 other terms	288	$12	$11	$2	13%	—	$5 – $14
3	Aetna fee schedule · outpatient · +7 other terms	265	$12	$13	$6	48%	—	$5 – $70
4	WellCare fee schedule · outpatient · +4 other terms	184	$12	$13	$2	16%	—	$12 – $23
5	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	181	$12	$14	$7	50%	—	$0 – $52
6	Devoted fee schedule · outpatient · +2 other terms	163	$12	$12	$0	2%	—	$11 – $12
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$12	$12	$0	3%	—	$12 – $13
8	Molina fee schedule · outpatient · +4 other terms	96	$16	$16	$6	39%	—	$9 – $31
9	Cigna fee schedule · outpatient · +6 other terms	77	$12	$13	$3	24%	—	$11 – $29
10	Anthem fee schedule · outpatient · +6 other terms	73	$12	$12	$1	8%	—	$11 – $19
11	Superior Healthplan fee schedule · outpatient	40	$12	$12	$0	0%	—	$12 – $12
12	Kaiser fee schedule · outpatient · +4 other terms	39	$12	$12	$0	2%	—	$11 – $12
13	Clover fee schedule · outpatient · +1 other terms	37	$12	$12	$0	3%	—	$12 – $12
14	Bcbs Tx fee schedule · outpatient	31	$11	$11	$3	29%	—	$8 – $40
15	Optum fee schedule · outpatient · +1 other terms	25	$12	$14	$6	42%	—	$11 – $29
16	Oscar fee schedule · outpatient · +2 other terms	24	$12	$12	$0	3%	—	$12 – $12
17	Caresource facility · case rate · outpatient · +4 other terms	20	$16	$17	$4	25%	—	$10 – $27
18	Medicare fee schedule · outpatient	18	$11	$11	$0	1%	—	$11 – $12
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$14	$14	$0	2%	—	$13 – $14
20	Wellmark fee schedule · both · +1 other terms	13	$10	$10	$0	3%	—	$8 – $10
21	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$6	$8	$3	37%	—	$6 – $12
22	Ambetter case rate · outpatient · +5 other terms	12	$17	$17	$1	4%	—	$17 – $18
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$10	$7	$5	80%	—	$0 – $13
24	Bcbs Nj fee schedule · outpatient	12	$12	$25	$17	68%	—	$12 – $51
25	Highmark fee schedule · outpatient · +4 other terms	10	$12	$12	$4	36%	—	$5 – $28

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