Hospital-grade electric breast pump

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

Symphony Monthly Rental W/Okit

Payers reporting HCPCS E0604

Payer pricing summary

Low

Average

$226

Median

$109

High

$1.6k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Cigna fee schedule · both · +10 other terms	16	$231	$223	$128	57%	4–40	$35 – $636
2	Premera percent of total billed charges · outpatientfrom % of charges	8	$2	$2	$0	3%	1–10	$2 – $2
3	Humana fee schedule · outpatient · +8 other terms	65	$566	$646	$428	66%	—	$76 – $1.2k
4	UnitedHealthcare fee schedule · both · +12 other terms	26	$84	$178	$130	73%	—	$42 – $518
5	Aetna fee schedule · outpatient · +10 other terms	19	$140	$250	$298	119%	—	$34 – $1.5k
6	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	19	$356	$1.4k	$3.2k	220%	—	$59 – $11.8k
7	Anthem facility · case rate · outpatient · +9 other terms	15	$29	$31	$7	23%	—	$20 – $49
8	Caresource facility · case rate · outpatient · +3 other terms	15	$29	$31	$7	23%	—	$20 – $50
9	Molina facility · case rate · outpatient · +3 other terms	15	$29	$31	$7	23%	—	$20 – $49
10	Regence fee schedule · outpatient · +1 other terms	14	$213	$251	$97	39%	—	$166 – $612
11	Wellmark fee schedule · both · +1 other terms	13	$35	$61	$153	250%	—	$35 – $1k
12	Bcbs Mn fee schedule · outpatient · +3 other terms	11	$163	$134	$66	50%	—	$59 – $204
13	Optum facility · case rate · outpatient · +1 other terms	11	$27	$30	$7	22%	—	$24 – $44
14	Highmark fee schedule · outpatient · +3 other terms	10	$286	$286	$303	106%	—	$72 – $715
15	Medica fee schedule · outpatient · +4 other terms	10	$379	$365	$114	31%	—	$103 – $490
16	Ucare fee schedule · both · +1 other terms	9	$77	$77	—	—	—	$77 – $77
17	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$92	$92	—	—	—	$92 – $92
18	First Health professional · fee schedule · both · +5 other terms	3	$96	$96	$38	39%	—	$52 – $136
19	Amerihealth Caritas professional · fee schedule · outpatient · +1 other terms	2	$73	$73	$0	0%	—	$72 – $73
20	Bcbs Vt professional · fee schedule · outpatient · +2 other terms	2	$108	$108	$37	34%	—	$41 – $139
21	Devoted facility · percent of total billed charges · outpatientfrom % of charges	2	$100	$100	—	—	—	$100 – $100
22	Kaiser fee schedule · both · +4 other terms	2	$149	$149	—	—	—	$149 – $149
23	Bcbs Id facility · fee schedule · outpatient · +1 other terms	1	$445	$445	—	—	—	$445 – $445
24	Bcbs Il professional · fee schedule · both	1	$541	$541	$459	85%	—	$82 – $1k
25	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0

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