Combined arterial and venous blood tubing

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

Comb art/venous blood tubing

Payers reporting HCPCS A4755

Payer pricing summary

Low

Average

$26

Median

$17

High

$106

Payer rate distribution

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#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	32	$14	$12	$10	78%	—	$0 – $40
2	Aetna fee schedule · outpatient · +7 other terms	29	$10	$13	$10	80%	—	$5 – $51
3	Anthem facility · case rate · outpatient · +5 other terms	15	$15	$17	$4	23%	—	$10 – $26
4	Caresource facility · case rate · outpatient · +1 other terms	15	$16	$17	$4	23%	—	$10 – $27
5	Molina facility · case rate · outpatient · +4 other terms	15	$15	$17	$4	23%	—	$11 – $26
6	UnitedHealthcare facility · case rate · outpatient · +5 other terms	15	$16	$17	$4	23%	—	$11 – $27
7	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$10	$6	$5	80%	—	$0 – $12
8	Optum facility · case rate · outpatient · +2 other terms	11	$14	$16	$4	22%	—	$13 – $24
9	Highmark fee schedule · outpatient · +2 other terms	10	$37	$37	—	—	—	$37 – $37
10	Medica fee schedule · both · +1 other terms	9	$17	$17	—	—	—	$17 – $17
11	Ucare fee schedule · both	9	$18	$18	$1	5%	—	$17 – $19
12	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$8	$8	—	—	—	$8 – $8
13	Humana fee schedule · inpatient · +2 other terms	5	$8	$8	—	—	—	$8 – $8
14	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$18	$18	$1	6%	—	$17 – $20
15	First Health professional · fee schedule · both	3	$9	$9	—	—	—	$9 – $9
16	Bcbs Id facility · fee schedule · outpatient	1	$6	$6	—	—	—	$6 – $6
17	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
18	Bcbs Nc facility · fee schedule · outpatient	1	$72	$72	$44	61%	—	$10 – $103
19	Bcbs Nv fee schedule · outpatient	1	$28	$28	—	—	—	$28 – $28
20	Bcbs Vt professional · fee schedule · outpatient	1	$8	$8	—	—	—	$8 – $8
21	Cigna fee schedule · both · +2 other terms	1	$25	$25	—	—	—	$25 – $25
22	Devoted percent of total billed chargesfrom % of charges	1	$49	$49	$46	92%	—	$4 – $95
23	MultiPlan percent of total billed chargesfrom % of charges	1	$106	$106	$99	93%	—	$7 – $219
24	Superior Healthplan facility · percent of total billed charges · bothfrom % of charges	1	$3	$3	—	—	—	$3 – $3