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.
Original text from hospital filings
Non-pneumatic, non-sequential, peristaltic wave compression pump
Low
$35
Average
$216
Median
$107
High
$996
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
39 payers; the 90th percentile is 5.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 223 | $82 | $140 | $127 | 90% | — | $48 – $439 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 220 | $82 | $167 | $473 | 284% | — | $39 – $5.5k |
| 3 | Humana fee schedule · outpatient · +3 other terms | 217 | $81 | $83 | $19 | 23% | — | $61 – $326 |
| 4 | WellCare fee schedule · outpatient · +1 other terms | 169 | $84 | $87 | $14 | 16% | — | $80 – $159 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 152 | $84 | $166 | $353 | 212% | — | $0 – $3.3k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 142 | $82 | $82 | $1 | 2% | — | $82 – $86 |
| 7 | Cigna Healthspring fee schedule · outpatient | 104 | $83 | $83 | $2 | 3% | — | $82 – $88 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 84 | $120 | $113 | $44 | 39% | — | $80 – $214 |
| 9 | Cigna fee schedule · outpatient · +2 other terms | 59 | $84 | $95 | $24 | 25% | — | $80 – $204 |
| 10 | Superior Healthplan fee schedule · outpatient | 39 | $86 | $86 | — | — | — | $86 – $86 |
| 11 | Clover fee schedule · outpatient | 32 | $82 | $83 | $3 | 3% | — | $80 – $86 |
| 12 | Bcbs Tx fee schedule · outpatient | 31 | $86 | $89 | $27 | 30% | — | $66 – $328 |
| 13 | Anthem fee schedule · outpatient · +5 other terms | 24 | $82 | $84 | $10 | 12% | — | $82 – $133 |
| 14 | Oscar fee schedule · outpatient | 24 | $80 | $82 | $3 | 3% | — | $80 – $86 |
| 15 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 16 | $98 | $97 | $2 | 2% | — | $93 – $98 |
| 16 | Caresource fee schedule · outpatient · +3 other terms | 15 | $82 | $82 | — | — | — | $82 – $82 |
| 17 | Optum fee schedule · outpatient · +1 other terms | 15 | $82 | $104 | $48 | 46% | — | $80 – $204 |
| 18 | Kaiser fee schedule · outpatient · +2 other terms | 14 | $83 | $83 | $0 | 0% | — | $82 – $83 |
| 19 | Wellmark fee schedule · both | 13 | $440 | $439 | $360 | 82% | — | $59 – $799 |
| 20 | Bcbs Nj fee schedule · outpatient | 12 | $80 | $172 | $117 | 68% | — | $80 – $354 |
| 21 | Highmark fee schedule · outpatient · +3 other terms | 10 | $79 | $81 | $28 | 35% | — | $38 – $192 |
| 22 | Medica fee schedule · both · +3 other terms | 9 | $500 | $498 | $292 | 59% | — | $85 – $714 |
| 23 | Medical Mutual fee schedule · outpatient | 9 | $146 | $146 | — | — | — | $146 – $146 |
| 24 | Bcbs Mn fee schedule · both · +2 other terms | 8 | $408 | $408 | $334 | 82% | — | $74 – $742 |
| 25 | Tricare fee schedule · outpatient · +1 other terms | 7 | $82 | $82 | — | — | — | $82 – $82 |
← Hospitals reporting HCPCS E0683 · Snapshot 20261112T181611Z-3fa9fb76