Bi-level breathing machine with backup rate, used with 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

RAD w backup invasive intrfc

Payers reporting HCPCS E0472

Payer pricing summary

Low

$15

Average

$1.7k

Median

$840

High

$9.4k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +7 other terms	267	$514	$787	$814	103%	—	$337 – $3.8k
2	Aetna fee schedule · outpatient · +6 other terms	260	$503	$1.2k	$3.6k	308%	—	$53 – $44.6k
3	UnitedHealthcare fee schedule · outpatient · +9 other terms	257	$504	$808	$726	90%	—	$239 – $5.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	192	$541	$1.6k	$3.6k	227%	—	$0 – $25.3k
5	WellCare fee schedule · outpatient · +1 other terms	185	$510	$534	$79	15%	—	$427 – $887
6	Devoted fee schedule · outpatient · +2 other terms	165	$499	$511	$52	10%	—	$461 – $755
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	111	$519	$509	$35	7%	—	$483 – $725
8	Molina fee schedule · outpatient · +3 other terms	96	$679	$689	$264	38%	—	$400 – $1.6k
9	Cigna fee schedule · outpatient · +4 other terms	77	$524	$844	$1.8k	208%	—	$457 – $15.7k
10	Superior Healthplan fee schedule · outpatient	40	$519	$522	$21	4%	—	$519 – $643
11	Anthem fee schedule · outpatient · +5 other terms	38	$483	$549	$170	31%	—	$461 – $1.2k
12	Clover fee schedule · outpatient	34	$519	$495	$77	16%	—	$427 – $705
13	Bcbs Tx fee schedule · outpatient	31	$539	$560	$168	30%	—	$419 – $2.1k
14	Optum fee schedule · outpatient · +2 other terms	28	$499	$592	$231	39%	—	$461 – $1.2k
15	Kaiser fee schedule · outpatient · +3 other terms	27	$493	$493	$40	8%	—	$461 – $608
16	Oscar fee schedule · outpatient	24	$484	$500	$20	4%	—	$484 – $524
17	Medicare fee schedule · outpatient	18	$461	$480	$48	10%	—	$461 – $608
18	Amerihealth Caritas fee schedule · outpatient	17	$598	$613	$51	8%	—	$568 – $766
19	Caresource fee schedule · outpatient · +3 other terms	15	$499	$499	—	—	—	$499 – $499
20	Wellmark fee schedule · both · +1 other terms	13	$3.5k	$3.5k	$2.9k	82%	—	$379 – $6.4k
21	Bcbs Nj fee schedule · outpatient	12	$427	$921	$625	68%	—	$427 – $1.9k
22	Bcbs Mn fee schedule · outpatient · +3 other terms	11	$5.2k	$3.9k	$2.6k	67%	—	$539 – $6.5k
23	MultiPlan facility · fee schedule · outpatient · +4 other terms	11	$1.8k	$1.8k	$97	5%	—	$1.5k – $1.8k
24	Highmark fee schedule · outpatient · +3 other terms	10	$545	$564	$212	38%	—	$200 – $1.4k
25	Medica fee schedule · outpatient · +4 other terms	10	$6.9k	$6.6k	$2.2k	34%	—	$767 – $8.9k

Page 1 of 2 · 50 payers