Below-knee compression stocking, 30-40 mmHg, custom-fitted

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

G com stcking bk 30-40 custm

Payers reporting HCPCS A6553

Payer pricing summary

Low

$96

Average

$334

Median

$238

High

$1.4k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +10 other terms	346	$227	$254	$117	46%	—	$128 – $1.5k
2	UnitedHealthcare fee schedule · outpatient · +11 other terms	337	$229	$228	$49	22%	—	$133 – $751
3	Humana fee schedule · outpatient · +8 other terms	313	$225	$237	$78	33%	—	$105 – $906
4	WellCare fee schedule · outpatient · +4 other terms	215	$233	$238	$36	15%	—	$211 – $439
5	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	207	$233	$280	$109	39%	—	$0 – $1.1k
6	Devoted fee schedule · outpatient · +3 other terms	163	$226	$227	$4	2%	—	$220 – $242
7	Molina fee schedule · outpatient · +4 other terms	135	$333	$313	$117	37%	—	$170 – $593
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	113	$231	$230	$6	3%	—	$226 – $244
9	Cigna fee schedule · outpatient · +6 other terms	97	$233	$258	$74	29%	—	$145 – $655
10	Anthem fee schedule · outpatient · +6 other terms	73	$222	$314	$312	99%	—	$220 – $1.7k
11	Kaiser fee schedule · outpatient · +4 other terms	61	$231	$323	$236	73%	—	$211 – $1.7k
12	Ambetter facility · fee schedule · outpatient · +5 other terms	41	$377	$409	$103	25%	—	$158 – $562
13	Clover fee schedule · outpatient · +2 other terms	41	$230	$230	$9	4%	—	$205 – $238
14	Superior Healthplan fee schedule · outpatient	40	$238	$238	$1	1%	—	$220 – $238
15	Caresource fee schedule · outpatient · +7 other terms	36	$227	$248	$45	18%	—	$211 – $350
16	Oscar fee schedule · outpatient · +4 other terms	35	$238	$259	$55	21%	—	$222 – $385
17	Optum fee schedule · outpatient · +2 other terms	33	$226	$297	$119	40%	—	$217 – $566
18	Bcbs Tx fee schedule · outpatient	31	$236	$243	$73	30%	—	$182 – $899
19	Medicare fee schedule · outpatient · +1 other terms	23	$222	$221	$5	2%	—	$205 – $223
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$272	$265	$13	5%	—	$231 – $272
21	Regence facility · fee schedule · outpatient · +1 other terms	18	$235	$229	$13	6%	—	$187 – $240
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	14	$226	$260	$66	25%	—	$123 – $358
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$226	$215	$10	5%	—	$203 – $226
24	Wellmark fee schedule · both · +1 other terms	13	$198	$198	$1	0%	—	$193 – $198
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$108	$155	$55	36%	—	$108 – $220

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