Replacement pillows for nasal oxygen cannula, pair

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

Replacement nasal pillows

Payers reporting HCPCS A7033

Payer pricing summary

Low

Average

$32

Median

$30

High

$151

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +9 other terms	267	$19	$30	$30	101%	—	$11 – $147
2	UnitedHealthcare fee schedule · outpatient · +12 other terms	260	$20	$21	$6	29%	—	$1 – $36
3	Aetna fee schedule · outpatient · +9 other terms	259	$20	$25	$17	68%	—	$10 – $168
4	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	191	$25	$29	$14	47%	—	$0 – $112
5	WellCare fee schedule · outpatient · +3 other terms	185	$20	$21	$4	19%	—	$19 – $37
6	Devoted fee schedule · outpatient · +1 other terms	165	$19	$20	$3	14%	—	$19 – $32
7	Cigna Healthspring fee schedule · outpatient	111	$20	$20	$2	10%	—	$19 – $31
8	Molina fee schedule · outpatient · +5 other terms	96	$29	$28	$11	39%	—	$16 – $74
9	Cigna fee schedule · outpatient · +11 other terms	77	$20	$26	$9	36%	—	$19 – $56
10	Superior Healthplan fee schedule · outpatient	40	$20	$21	$2	8%	—	$20 – $30
11	Anthem fee schedule · outpatient · +7 other terms	36	$20	$20	$2	12%	—	$19 – $29
12	Clover fee schedule · outpatient	34	$20	$20	$3	14%	—	$19 – $30
13	Bcbs Tx fee schedule · outpatient	31	$24	$26	$8	31%	—	$19 – $96
14	Optum fee schedule · outpatient · +2 other terms	28	$19	$24	$9	39%	—	$19 – $48
15	Kaiser fee schedule · outpatient · +5 other terms	27	$20	$20	$2	12%	—	$19 – $28
16	Oscar fee schedule · outpatient · +1 other terms	24	$19	$20	$1	3%	—	$19 – $20
17	Medicare fee schedule · outpatient	18	$19	$20	$3	15%	—	$19 – $28
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$23	$24	$3	13%	—	$22 – $34
19	Caresource fee schedule · outpatient · +7 other terms	15	$19	$19	—	—	—	$19 – $19
20	Tricare fee schedule · outpatient · +1 other terms	15	$30	$40	$25	63%	—	$19 – $76
21	Wellmark fee schedule · both · +1 other terms	13	$30	$29	$2	6%	—	$22 – $30
22	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$18	$18	$5	26%	—	$9 – $22
23	Bcbs Nj fee schedule · outpatient	12	$19	$40	$27	68%	—	$19 – $83
24	MultiPlan facility · fee schedule · outpatient · +9 other terms	11	$83	$80	$8	9%	—	$57 – $83
25	Highmark fee schedule · outpatient · +4 other terms	10	$26	$27	$11	40%	—	$9 – $66

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