Full face mask for positive airway pressure device

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

HC Full Face Mask W/ Positive Airway Pressure Device, Ea

Payers reporting HCPCS A7030

Payer pricing summary

Low

$26

Average

$131

Median

$118

High

$352

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +12 other terms	268	$112	$172	$171	99%	—	$64 – $834
2	UnitedHealthcare fee schedule · outpatient · +16 other terms	261	$112	$123	$41	34%	—	$1 – $241
3	Aetna fee schedule · outpatient · +12 other terms	260	$112	$148	$108	73%	—	$61 – $1.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	191	$140	$176	$91	52%	—	$0 – $744
5	WellCare fee schedule · outpatient · +4 other terms	186	$114	$122	$26	22%	—	$107 – $235
6	Devoted fee schedule · outpatient · +2 other terms	165	$111	$117	$21	18%	—	$108 – $201
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	111	$115	$115	$15	13%	—	$110 – $192
8	Molina fee schedule · outpatient · +7 other terms	96	$161	$159	$63	40%	—	$93 – $466
9	Cigna fee schedule · outpatient · +14 other terms	77	$114	$155	$62	40%	—	$107 – $322
10	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$115	$117	$12	11%	—	$115 – $187
11	Anthem fee schedule · outpatient · +10 other terms	37	$113	$118	$18	15%	—	$108 – $183
12	Clover fee schedule · outpatient	34	$115	$118	$21	17%	—	$109 – $187
13	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$152	$160	$52	32%	—	$107 – $603
14	Optum fee schedule · outpatient · +3 other terms	28	$111	$137	$53	39%	—	$108 – $274
15	Kaiser fee schedule · outpatient · +8 other terms	27	$115	$119	$19	16%	—	$108 – $174
16	Oscar fee schedule · outpatient · +2 other terms	24	$107	$111	$4	4%	—	$107 – $116
17	Medicare fee schedule · outpatient · +1 other terms	18	$108	$117	$22	19%	—	$108 – $174
18	Amerihealth Caritas fee schedule · outpatient · +3 other terms	17	$133	$141	$25	18%	—	$126 – $213
19	Medcost facility · percent of total billed charges · bothfrom % of charges · +2 other terms	17	$54	$96	$80	83%	—	$3 – $305
20	Caresource fee schedule · outpatient · +10 other terms	16	$111	$113	$5	5%	—	$111 – $124
21	Tricare fee schedule · outpatient · +3 other terms	16	$154	$236	$155	66%	—	$111 – $462
22	Wellmark fee schedule · both · +3 other terms	13	$187	$184	$12	6%	—	$134 – $187
23	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	12	$59	$60	$18	30%	—	$18 – $83
24	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$104	$104	$27	26%	—	$53 – $127
25	Bcbs Nj fee schedule · outpatient	12	$109	$235	$160	68%	—	$109 – $482

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