Non-cuffed tracheostomy tube

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

Tube Larytube Provox Standard 9/55 (Ea)

Payers reporting HCPCS A7520

Payer pricing summary

Low

$26

Average

$156

Median

$133

High

$441

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +25 other terms	347	$68	$72	$43	59%	—	$1 – $990
2	Humana fee schedule · outpatient · +19 other terms	314	$68	$87	$87	100%	—	$23 – $774
3	Aetna fee schedule · outpatient · +23 other terms	282	$68	$89	$78	87%	—	$1 – $1.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	216	$69	$85	$36	42%	—	$0 – $470
5	WellCare fee schedule · outpatient · +13 other terms	186	$70	$72	$18	25%	—	$66 – $290
6	Devoted fee schedule · outpatient · +7 other terms	161	$68	$68	$1	2%	—	$65 – $72
7	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$70	$69	$1	1%	—	$68 – $73
8	Molina fee schedule · outpatient · +17 other terms	97	$96	$90	$42	46%	—	$1 – $299
9	Cigna fee schedule · outpatient · +24 other terms	93	$70	$120	$101	84%	—	$44 – $812
10	Anthem fee schedule · outpatient · +20 other terms	82	$66	$50	$30	61%	—	$4 – $282
11	Kaiser fee schedule · outpatient · +16 other terms	42	$66	$74	$24	32%	—	$44 – $170
12	Superior Healthplan fee schedule · outpatient · +3 other terms	40	$71	$71	$0	0%	—	$66 – $71
13	MultiPlan fee schedule · outpatient · +17 other terms	38	$163	$271	$231	85%	—	$1 – $1.1k
14	Clover fee schedule · outpatient · +4 other terms	36	$68	$68	$1	1%	—	$66 – $71
15	Caresource fee schedule · outpatient · +11 other terms	32	$68	$77	$24	31%	—	$24 – $122
16	Bcbs Tx fee schedule · outpatient · +4 other terms	31	$62	$64	$19	29%	—	$47 – $232
17	Medica fee schedule · outpatient · +12 other terms	27	$130	$133	$45	34%	—	$32 – $245
18	Optum fee schedule · outpatient · +11 other terms	26	$68	$76	$32	42%	—	$52 – $169
19	Oscar fee schedule · outpatient · +9 other terms	24	$66	$68	$2	3%	—	$66 – $71
20	Medcost facility · percent of total billed charges · bothfrom % of charges · +6 other terms	20	$99	$145	$169	117%	—	$0 – $1.0k
21	Medicare fee schedule · outpatient · +6 other terms	19	$65	$62	$13	21%	—	$1 – $66
22	Phcs fee schedule · inpatient · +11 other terms	19	$163	$258	$243	94%	—	$65 – $1.1k
23	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	17	$64	$65	$44	68%	—	$19 – $208
24	Amerihealth Caritas fee schedule · outpatient · +9 other terms	16	$81	$80	$2	2%	—	$77 – $81
25	Aetna Better Health other · outpatient · +9 other terms	14	$85	$99	$104	104%	—	$20 – $541

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