Portable oxygen concentrator DC power adapter

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

Dc power adapter port conc

Payers reporting HCPCS E1358

Payer pricing summary

Low

Average

$45

Median

$37

High

$138

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +5 other terms	19	$5	$29	$53	183%	—	$5 – $198
2	Wellmark fee schedule · both · +1 other terms	13	$11	$12	$4	32%	—	$11 – $35
3	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	10	$44	$37	$41	111%	—	$0 – $133
4	Cigna professional · fee schedule · outpatient	10	$138	$138	—	—	—	$138 – $138
5	Highmark fee schedule · outpatient · +1 other terms	10	$48	$48	$51	106%	—	$12 – $121
6	Anthem professional · fee schedule · outpatient · +1 other terms	8	$123	$123	—	—	—	$123 – $123
7	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$5	$5	—	—	—	$5 – $5
8	Humana fee schedule · inpatient · +1 other terms	5	$5	$5	—	—	—	$5 – $5
9	UnitedHealthcare facility · fee schedule · outpatient	4	$75	$75	—	—	—	$75 – $75
10	First Health professional · fee schedule · both	3	$5	$5	—	—	—	$5 – $5
11	Bcbs Il professional · fee schedule · both	1	$35	$35	—	—	—	$35 – $35
12	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
13	Bcbs Vt professional · fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37