Custom medium-weight compression arm sleeve

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 grad com sleeve med

Payers reporting HCPCS A6576

Payer pricing summary

Low

$83

Average

$300

Median

$205

High

$1.4k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +10 other terms	345	$196	$219	$101	46%	—	$111 – $1.3k
2	UnitedHealthcare fee schedule · outpatient · +11 other terms	337	$197	$196	$41	21%	—	$114 – $647
3	Humana fee schedule · outpatient · +11 other terms	313	$194	$204	$67	33%	—	$90 – $781
4	WellCare fee schedule · outpatient · +4 other terms	215	$201	$206	$31	15%	—	$187 – $378
5	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	197	$199	$240	$93	39%	—	$0 – $913
6	Devoted fee schedule · outpatient · +2 other terms	163	$195	$196	$3	2%	—	$190 – $209
7	Molina fee schedule · outpatient · +7 other terms	135	$287	$270	$101	37%	—	$146 – $511
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	113	$200	$198	$5	3%	—	$195 – $211
9	Cigna fee schedule · outpatient · +8 other terms	97	$201	$223	$64	29%	—	$125 – $564
10	Anthem fee schedule · outpatient · +6 other terms	73	$191	$271	$269	99%	—	$190 – $1.5k
11	Kaiser fee schedule · outpatient · +4 other terms	61	$199	$279	$203	73%	—	$190 – $1.5k
12	Clover fee schedule · outpatient · +2 other terms	41	$202	$200	$5	3%	—	$190 – $205
13	Ambetter facility · fee schedule · outpatient · +5 other terms	40	$330	$354	$89	25%	—	$136 – $485
14	Superior Healthplan fee schedule · outpatient	40	$205	$205	$1	1%	—	$190 – $205
15	Caresource fee schedule · outpatient · +7 other terms	36	$197	$215	$38	18%	—	$194 – $302
16	Oscar fee schedule · outpatient · +4 other terms	35	$205	$224	$48	21%	—	$191 – $332
17	Optum fee schedule · outpatient · +2 other terms	33	$195	$256	$103	40%	—	$187 – $488
18	Bcbs Tx fee schedule · outpatient	31	$203	$210	$63	30%	—	$157 – $775
19	Medicare fee schedule · outpatient · +1 other terms	23	$191	$192	$0	0%	—	$191 – $192
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$234	$228	$11	5%	—	$199 – $234
21	Regence facility · fee schedule · outpatient · +1 other terms	18	$203	$198	$12	6%	—	$162 – $207
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	14	$195	$225	$57	25%	—	$106 – $308
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$194	$186	$9	5%	—	$175 – $194
24	Tricare facility · fee schedule · outpatient · +1 other terms	13	$195	$192	$5	3%	—	$176 – $195
25	Wellmark fee schedule · both · +1 other terms	13	$171	$171	$1	0%	—	$166 – $171

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