Replacement face mask cushion for CPAP machine

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Replacement facemask interfa

Payers reporting HCPCS A7031

Payer pricing summary

Low

Average

$65

Median

$60

High

$183

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +10 other terms	267	$43	$66	$65	99%	—	$24 – $317
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	261	$43	$46	$15	33%	—	$1 – $89
3	Aetna fee schedule · outpatient · +10 other terms	259	$43	$56	$40	71%	—	$23 – $395
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	193	$47	$65	$33	51%	—	$0 – $275
5	WellCare fee schedule · outpatient · +2 other terms	185	$44	$46	$10	21%	—	$41 – $88
6	Devoted fee schedule · outpatient · +2 other terms	165	$43	$44	$8	17%	—	$41 – $75
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	111	$45	$44	$5	13%	—	$42 – $72
8	Molina fee schedule · outpatient · +5 other terms	96	$61	$60	$24	39%	—	$36 – $174
9	Cigna fee schedule · outpatient · +10 other terms	77	$44	$59	$23	39%	—	$41 – $122
10	Superior Healthplan fee schedule · outpatient	40	$44	$45	$4	10%	—	$44 – $70
11	Anthem fee schedule · outpatient · +7 other terms	36	$43	$45	$7	15%	—	$41 – $68
12	Clover fee schedule · outpatient	34	$44	$45	$8	17%	—	$41 – $70
13	Bcbs Tx fee schedule · outpatient	31	$57	$60	$19	32%	—	$41 – $225
14	Optum fee schedule · outpatient · +2 other terms	28	$43	$52	$20	38%	—	$41 – $104
15	Kaiser fee schedule · outpatient · +5 other terms	27	$44	$45	$7	15%	—	$41 – $65
16	Oscar fee schedule · outpatient · +1 other terms	24	$41	$43	$2	5%	—	$41 – $45
17	Medicare fee schedule · outpatient	18	$41	$44	$8	18%	—	$41 – $65
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$51	$54	$9	16%	—	$49 – $80
19	Caresource fee schedule · outpatient · +6 other terms	15	$43	$43	—	—	—	$43 – $43
20	Tricare fee schedule · outpatient · +1 other terms	15	$71	$79	$40	51%	—	$43 – $134
21	Wellmark fee schedule · both · +1 other terms	13	$70	$69	$4	7%	—	$50 – $70
22	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$39	$40	$10	26%	—	$20 – $48
23	Bcbs Nj fee schedule · outpatient	12	$41	$88	$60	68%	—	$41 – $181
24	MultiPlan facility · fee schedule · outpatient · +8 other terms	11	$195	$189	$19	10%	—	$129 – $195
25	Highmark fee schedule · outpatient · +3 other terms	10	$58	$60	$26	43%	—	$19 – $156

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