Pneumatic compression chest wrap for use with compressor

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Segmental pneumatic chest

Payers reporting HCPCS E0657

Payer pricing summary

Low

$15

Average

$288

Median

$167

High

$2.6k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	246	$77	$125	$134	107%	—	$52 – $595
2	Aetna fee schedule · outpatient · +5 other terms	236	$78	$166	$446	268%	—	$28 – $5.1k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$78	$125	$104	83%	—	$32 – $570
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$79	$179	$359	200%	—	$0 – $2.7k
5	WellCare fee schedule · outpatient · +1 other terms	169	$80	$83	$14	16%	—	$76 – $151
6	Devoted fee schedule · outpatient · +1 other terms	151	$77	$78	$1	2%	—	$74 – $82
7	Cigna Healthspring fee schedule · outpatient	104	$79	$79	$2	3%	—	$77 – $84
8	Molina fee schedule · outpatient · +3 other terms	89	$114	$107	$42	39%	—	$64 – $203
9	Cigna fee schedule · outpatient · +3 other terms	69	$80	$132	$293	222%	—	$74 – $2.3k
10	Superior Healthplan fee schedule · outpatient	39	$81	$81	—	—	—	$81 – $81
11	Anthem fee schedule · outpatient · +5 other terms	34	$77	$78	$8	11%	—	$74 – $126
12	Clover fee schedule · outpatient	32	$78	$79	$3	3%	—	$76 – $81
13	Bcbs Tx fee schedule · outpatient	31	$71	$73	$21	29%	—	$54 – $265
14	Kaiser fee schedule · outpatient · +2 other terms	24	$79	$77	$2	3%	—	$74 – $79
15	Optum fee schedule · outpatient · +1 other terms	24	$77	$90	$38	42%	—	$74 – $193
16	Oscar fee schedule · outpatient	24	$76	$78	$3	3%	—	$76 – $81
17	Amerihealth Caritas fee schedule · outpatient	16	$93	$92	$2	2%	—	$88 – $93
18	Caresource fee schedule · outpatient · +3 other terms	15	$77	$77	—	—	—	$77 – $77
19	Medicare fee schedule · outpatient	15	$74	$74	$0	0%	—	$74 – $76
20	Wellmark fee schedule · both · +1 other terms	13	$417	$416	$341	82%	—	$56 – $759
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$711	$721	$187	26%	—	$359 – $865
22	Bcbs Nj fee schedule · outpatient	12	$76	$164	$111	68%	—	$76 – $336
23	Highmark fee schedule · outpatient · +3 other terms	10	$240	$242	$230	95%	—	$36 – $626
24	Medica fee schedule · outpatient · +4 other terms	10	$1.0k	$958	$322	34%	—	$122 – $1.3k
25	Medical Mutual fee schedule · outpatient	9	$139	$139	—	—	—	$139 – $139

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