Disposable small-volume nebulizer cup

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

SMALL VOLUME NONFILTERED PNEUMATIC NEBULIZER; DISPOSABLE

Payers reporting HCPCS A7004

Payer pricing summary

Low

Average

Median

High

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$2	$2	$2	102%	—	$1 – $12
2	Aetna fee schedule · outpatient · +8 other terms	259	$2	$2	$1	61%	—	$1 – $12
3	UnitedHealthcare fee schedule · outpatient · +10 other terms	257	$2	$2	$0	20%	—	$1 – $3
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	185	$2	$2	$1	43%	—	$0 – $8
5	WellCare fee schedule · outpatient · +4 other terms	185	$2	$2	$0	17%	—	$2 – $3
6	Devoted fee schedule · outpatient · +1 other terms	165	$2	$2	$0	9%	—	$1 – $2
7	Cigna Healthspring fee schedule · outpatient	111	$2	$2	$0	7%	—	$2 – $2
8	Molina fee schedule · outpatient · +4 other terms	96	$2	$2	$1	38%	—	$1 – $5
9	Cigna fee schedule · outpatient · +6 other terms	77	$2	$2	$1	33%	—	$1 – $5
10	Superior Healthplan fee schedule · outpatient	40	$2	$2	$0	4%	—	$2 – $2
11	Anthem fee schedule · outpatient · +6 other terms	38	$2	$2	$1	32%	—	$1 – $4
12	Clover fee schedule · outpatient	34	$2	$2	$0	9%	—	$2 – $2
13	Bcbs Tx fee schedule · outpatient	31	$2	$2	$1	30%	—	$1 – $7
14	Optum fee schedule · outpatient · +2 other terms	28	$2	$2	$1	39%	—	$1 – $4
15	Kaiser fee schedule · outpatient · +3 other terms	27	$2	$2	$0	8%	—	$1 – $2
16	Oscar fee schedule · outpatient	24	$2	$2	$0	4%	—	$2 – $2
17	Medicare fee schedule · outpatient	18	$1	$2	$0	11%	—	$1 – $2
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$2	$2	$0	7%	—	$2 – $2
19	Caresource fee schedule · outpatient · +3 other terms	15	$2	$2	—	—	—	$2 – $2
20	Wellmark fee schedule · both · +1 other terms	13	$2	$2	$0	9%	—	$1 – $2
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$2	$2	$0	26%	—	$1 – $2
22	Bcbs Nj fee schedule · outpatient	12	$2	$3	$2	68%	—	$2 – $7
23	MultiPlan facility · fee schedule · outpatient · +3 other terms	11	$6	$6	$0	7%	—	$4 – $6
24	Regence fee schedule · outpatient · +2 other terms	11	$1	$2	$0	21%	—	$1 – $2
25	Highmark fee schedule · outpatient · +3 other terms	10	$2	$2	$1	36%	—	$1 – $5

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