Full-arm compression sleeve for pneumatic 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

Pneumatic appliance full arm

Payers reporting HCPCS E0665

Payer pricing summary

Low

Average

$176

Median

$163

High

$627

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$173	$165	$63	38%	—	$13 – $718
2	Aetna fee schedule · outpatient · +5 other terms	236	$191	$188	$114	61%	—	$7 – $1.2k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	231	$187	$136	$64	47%	—	$8 – $205
4	WellCare fee schedule · outpatient · +2 other terms	169	$201	$202	$26	13%	—	$163 – $324
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	167	$189	$206	$73	35%	—	$0 – $533
6	Devoted fee schedule · outpatient · +1 other terms	151	$195	$185	$33	18%	—	$17 – $207
7	Cigna Healthspring fee schedule · outpatient	104	$192	$192	$7	4%	—	$174 – $202
8	Molina fee schedule · outpatient · +3 other terms	89	$237	$241	$120	50%	—	$16 – $512
9	Cigna fee schedule · outpatient · +3 other terms	69	$191	$169	$90	53%	—	$17 – $540
10	Superior Healthplan fee schedule · outpatient	39	$205	$205	—	—	—	$205 – $205
11	Anthem fee schedule · outpatient · +5 other terms	34	$174	$135	$61	45%	—	$17 – $199
12	Clover fee schedule · outpatient	32	$180	$184	$19	11%	—	$163 – $205
13	Bcbs Tx fee schedule · outpatient	31	$180	$184	$54	29%	—	$135 – $668
14	Kaiser fee schedule · outpatient · +3 other terms	24	$178	$128	$63	49%	—	$17 – $178
15	Optum fee schedule · outpatient · +1 other terms	24	$168	$155	$111	72%	—	$17 – $488
16	Oscar fee schedule · outpatient	24	$191	$190	$1	1%	—	$189 – $191
17	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$216	$215	$1	0%	—	$214 – $216
18	Caresource fee schedule · outpatient · +3 other terms	15	$180	$180	—	—	—	$180 – $180
19	Medicare fee schedule · outpatient	15	$103	$106	$67	63%	—	$17 – $188
20	Wellmark fee schedule · both · +1 other terms	13	$89	$89	$73	82%	—	$14 – $163
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$161	$163	$42	26%	—	$82 – $196
22	Bcbs Nj fee schedule · outpatient	12	$163	$351	$238	68%	—	$163 – $720
23	Highmark fee schedule · outpatient · +3 other terms	10	$100	$104	$84	82%	—	$9 – $407
24	Medica fee schedule · outpatient · +4 other terms	10	$358	$344	$115	33%	—	$32 – $462
25	Medical Mutual fee schedule · outpatient	9	$193	$193	$116	60%	—	$36 – $311

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