Reusable filter holder for tracheostomy heat and moisture exchanger

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

HMES filter holder or cap

Payers reporting HCPCS A7503

Payer pricing summary

Low

Average

$39

Median

$21

High

$275

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +9 other terms	299	$16	$25	$26	105%	—	$7 – $124
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	288	$16	$16	$2	14%	—	$7 – $19
3	Aetna fee schedule · outpatient · +11 other terms	265	$16	$18	$8	48%	—	$7 – $97
4	WellCare fee schedule · outpatient · +5 other terms	184	$17	$17	$3	16%	—	$16 – $32
5	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	179	$16	$19	$8	40%	—	$0 – $57
6	Devoted fee schedule · outpatient · +2 other terms	163	$16	$16	$0	2%	—	$16 – $17
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$17	$16	$0	3%	—	$16 – $17
8	Molina fee schedule · outpatient · +7 other terms	96	$22	$22	$9	39%	—	$13 – $42
9	Cigna fee schedule · outpatient · +9 other terms	77	$16	$18	$4	24%	—	$16 – $40
10	Anthem fee schedule · outpatient · +6 other terms	73	$16	$16	$1	8%	—	$16 – $26
11	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$17	$17	$0	0%	—	$16 – $17
12	Kaiser fee schedule · outpatient · +5 other terms	39	$16	$16	$0	2%	—	$16 – $16
13	Clover fee schedule · outpatient · +1 other terms	37	$16	$16	$1	3%	—	$16 – $17
14	Bcbs Tx fee schedule · outpatient	31	$15	$15	$4	29%	—	$11 – $55
15	Optum fee schedule · outpatient · +7 other terms	25	$16	$19	$8	42%	—	$16 – $40
16	Oscar fee schedule · outpatient · +4 other terms	24	$16	$16	$1	3%	—	$16 – $17
17	Caresource facility · case rate · outpatient · +5 other terms	20	$11	$15	$8	52%	—	$7 – $32
18	Medicare fee schedule · outpatient	18	$16	$16	$0	1%	—	$16 – $16
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	16	$19	$19	$0	2%	—	$18 – $19
20	Ambetter facility · fee schedule · outpatient · +6 other terms	15	$29	$26	$3	11%	—	$23 – $29
21	Wellmark fee schedule · both · +2 other terms	13	$15	$15	$1	4%	—	$12 – $15
22	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$8	$11	$4	37%	—	$8 – $16
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$14	$9	$7	82%	—	$0 – $17
24	Bcbs Nj fee schedule · outpatient	12	$16	$34	$23	68%	—	$16 – $70
25	Beechstreet percent of total billed charges · bothfrom % of charges	11	$279	$275	$20	7%	—	$230 – $305

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