Replacement soft cuffs for stretching device

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

Replacement interface spsd

Payers reporting HCPCS E1821

Payer pricing summary

Low

Average

$138

Median

$129

High

$331

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$148	$133	$51	38%	—	$10 – $600
2	Aetna fee schedule · outpatient · +5 other terms	236	$151	$155	$99	64%	—	$6 – $988
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	231	$151	$117	$50	43%	—	$6 – $159
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	169	$153	$164	$68	41%	—	$0 – $482
5	WellCare fee schedule · outpatient · +2 other terms	169	$154	$160	$26	16%	—	$147 – $293
6	Devoted fee schedule · outpatient · +1 other terms	151	$150	$145	$24	17%	—	$14 – $159
7	Cigna Healthspring fee schedule · outpatient	104	$153	$153	$4	3%	—	$150 – $162
8	Molina fee schedule · outpatient · +3 other terms	89	$185	$188	$92	49%	—	$12 – $393
9	Cigna fee schedule · outpatient · +3 other terms	69	$151	$133	$78	59%	—	$14 – $440
10	Superior Healthplan fee schedule · outpatient	39	$157	$157	—	—	—	$157 – $157
11	Anthem fee schedule · outpatient · +5 other terms	34	$150	$116	$52	45%	—	$14 – $154
12	Clover fee schedule · outpatient	32	$152	$152	$5	3%	—	$147 – $157
13	Bcbs Tx fee schedule · outpatient	31	$138	$141	$42	29%	—	$104 – $513
14	Kaiser fee schedule · outpatient · +3 other terms	24	$153	$110	$54	49%	—	$14 – $153
15	Optum fee schedule · outpatient · +1 other terms	24	$150	$127	$85	67%	—	$14 – $375
16	Oscar fee schedule · outpatient	24	$147	$151	$5	3%	—	$147 – $157
17	Amerihealth Caritas fee schedule · outpatient	16	$180	$178	$4	2%	—	$171 – $180
18	Caresource fee schedule · outpatient · +3 other terms	15	$150	$150	—	—	—	$150 – $150
19	Medicare fee schedule · outpatient	15	$89	$89	$55	62%	—	$14 – $147
20	Wellmark fee schedule · both · +1 other terms	13	$77	$76	$63	82%	—	$11 – $140
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$131	$133	$34	26%	—	$66 – $160
22	Bcbs Nj fee schedule · outpatient	12	$147	$317	$215	68%	—	$147 – $651
23	Highmark fee schedule · outpatient · +3 other terms	10	$86	$89	$74	83%	—	$7 – $353
24	Medica fee schedule · outpatient · +4 other terms	10	$291	$279	$94	34%	—	$24 – $376
25	Medical Mutual fee schedule · outpatient	9	$166	$166	$102	62%	—	$27 – $269

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