Custom gradient compression arm sleeve and glove

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

Custom gradient sleev/glov

Payers reporting HCPCS A6574

Payer pricing summary

Low

$135

Average

$436

Median

$334

High

$1.5k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +9 other terms	343	$319	$355	$166	47%	—	$180 – $2.1k
2	UnitedHealthcare fee schedule · outpatient · +11 other terms	335	$321	$319	$68	21%	—	$186 – $1.1k
3	Humana fee schedule · outpatient · +8 other terms	311	$315	$331	$111	33%	—	$147 – $1.3k
4	WellCare fee schedule · outpatient · +4 other terms	215	$328	$334	$52	15%	—	$211 – $616
5	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	196	$324	$391	$153	39%	—	$0 – $1.5k
6	Devoted fee schedule · outpatient · +2 other terms	163	$318	$319	$5	2%	—	$310 – $340
7	Molina fee schedule · outpatient · +4 other terms	133	$468	$442	$165	37%	—	$238 – $833
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	113	$325	$323	$9	3%	—	$318 – $343
9	Cigna fee schedule · outpatient · +6 other terms	95	$328	$365	$104	28%	—	$310 – $920
10	Anthem fee schedule · outpatient · +6 other terms	73	$312	$442	$438	99%	—	$310 – $2.4k
11	Kaiser fee schedule · outpatient · +4 other terms	61	$324	$449	$333	74%	—	$211 – $2.4k
12	Clover fee schedule · outpatient · +2 other terms	41	$313	$317	$30	10%	—	$205 – $334
13	Superior Healthplan fee schedule · outpatient	40	$334	$334	$2	1%	—	$310 – $334
14	Ambetter facility · fee schedule · outpatient · +5 other terms	38	$553	$581	$146	25%	—	$221 – $790
15	Caresource fee schedule · outpatient · +7 other terms	36	$318	$342	$71	21%	—	$211 – $491
16	Oscar fee schedule · outpatient · +4 other terms	35	$334	$364	$78	21%	—	$312 – $541
17	Optum fee schedule · outpatient · +2 other terms	33	$318	$417	$167	40%	—	$305 – $795
18	Bcbs Tx fee schedule · outpatient	31	$331	$342	$103	30%	—	$256 – $1.3k
19	Medicare fee schedule · outpatient · +1 other terms	23	$312	$304	$29	10%	—	$205 – $313
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$382	$372	$18	5%	—	$324 – $382
21	Regence facility · fee schedule · outpatient · +1 other terms	18	$331	$322	$19	6%	—	$263 – $337
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	14	$318	$366	$93	25%	—	$173 – $502
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$317	$303	$14	5%	—	$286 – $317
24	Wellmark fee schedule · both · +1 other terms	13	$279	$278	$1	0%	—	$271 – $279
25	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$152	$218	$78	36%	—	$152 – $310

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