Combination oral and nasal CPAP mask

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

MASK LARYNGEAL 2 PEDIATRIC PILOT BALLOON DISPOSABLE--105300-000020

Payers reporting HCPCS A7027

Payer pricing summary

Low

Average

$208

Median

$183

High

$487

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +11 other terms	267	$154	$230	$228	99%	—	$82 – $1.1k
2	UnitedHealthcare fee schedule · outpatient · +16 other terms	260	$152	$156	$41	27%	—	$1 – $266
3	Aetna fee schedule · outpatient · +12 other terms	259	$154	$191	$125	66%	—	$79 – $1.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	191	$180	$216	$100	46%	—	$0 – $854
5	WellCare fee schedule · outpatient · +2 other terms	185	$157	$163	$29	18%	—	$139 – $285
6	Devoted fee schedule · outpatient · +2 other terms	165	$154	$156	$21	13%	—	$146 – $243
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	111	$160	$154	$15	10%	—	$147 – $232
8	Molina fee schedule · outpatient · +6 other terms	96	$217	$210	$81	39%	—	$126 – $553
9	Cigna fee schedule · outpatient · +13 other terms	77	$158	$200	$69	35%	—	$143 – $444
10	Superior Healthplan fee schedule · outpatient	40	$155	$157	$12	7%	—	$155 – $221
11	Anthem fee schedule · outpatient · +7 other terms	36	$153	$157	$17	11%	—	$146 – $217
12	Clover fee schedule · outpatient	34	$155	$155	$23	15%	—	$139 – $227
13	Bcbs Tx fee schedule · outpatient	31	$182	$191	$59	31%	—	$143 – $715
14	Optum fee schedule · outpatient · +2 other terms	28	$154	$183	$68	37%	—	$146 – $368
15	Kaiser fee schedule · outpatient · +3 other terms	27	$156	$158	$18	11%	—	$146 – $211
16	Oscar fee schedule · outpatient · +1 other terms	24	$144	$151	$8	6%	—	$144 – $161
17	Medicare fee schedule · outpatient	18	$146	$154	$22	14%	—	$146 – $211
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$184	$191	$21	11%	—	$175 – $253
19	Caresource fee schedule · outpatient · +7 other terms	15	$154	$154	—	—	—	$154 – $154
20	Tricare fee schedule · outpatient · +2 other terms	15	$231	$356	$255	72%	—	$154 – $715
21	Wellmark fee schedule · both · +1 other terms	13	$227	$222	$22	10%	—	$127 – $227
22	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$143	$144	$37	26%	—	$73 – $176
23	Bcbs Nj fee schedule · outpatient	12	$139	$299	$203	68%	—	$139 – $613
24	MultiPlan facility · fee schedule · outpatient · +9 other terms	11	$619	$602	$52	9%	—	$439 – $619
25	Highmark fee schedule · outpatient · +4 other terms	10	$190	$197	$80	40%	—	$65 – $494

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