Custom-made chest rib support belt

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

HB-Breast Binder, Compression Wrap

Payers reporting HCPCS L0220

Payer pricing summary

Low

$37

Average

$203

Median

$180

High

$499

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +19 other terms	385	$156	$156	$49	31%	—	$1 – $700
2	Aetna fee schedule · outpatient · +20 other terms	370	$159	$183	$90	49%	—	$40 – $1.0k
3	Humana fee schedule · outpatient · +19 other terms	326	$155	$251	$304	121%	—	$37 – $1.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	231	$184	$203	$112	55%	—	$0 – $904
5	WellCare fee schedule · outpatient · +9 other terms	212	$160	$181	$39	22%	—	$25 – $346
6	Devoted fee schedule · outpatient · +5 other terms	165	$141	$172	$23	13%	—	$135 – $201
7	Molina fee schedule · outpatient · +10 other terms	144	$211	$240	$100	42%	—	$69 – $492
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$151	$175	$19	11%	—	$141 – $193
9	Cigna fee schedule · outpatient · +19 other terms	113	$152	$188	$97	51%	—	$40 – $575
10	Anthem fee schedule · outpatient · +14 other terms	88	$141	$202	$231	114%	—	$15 – $1.2k
11	Kaiser fee schedule · outpatient · +11 other terms	68	$144	$223	$176	79%	—	$49 – $1.1k
12	Caresource fee schedule · outpatient · +6 other terms	44	$141	$149	$44	30%	—	$52 – $245
13	Superior Healthplan fee schedule · outpatient · +1 other terms	41	$197	$195	$18	9%	—	$16 – $197
14	Clover fee schedule · outpatient · +2 other terms	37	$174	$170	$19	11%	—	$141 – $197
15	Oscar fee schedule · outpatient · +4 other terms	36	$184	$189	$36	19%	—	$148 – $267
16	Ambetter facility · fee schedule · outpatient · +7 other terms	35	$286	$275	$59	21%	—	$138 – $352
17	Optum fee schedule · outpatient · +4 other terms	33	$141	$218	$117	54%	—	$135 – $469
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$162	$148	$39	26%	—	$53 – $261
19	Regence facility · fee schedule · outpatient · +8 other terms	20	$146	$148	$11	7%	—	$126 – $180
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$169	$167	$3	2%	—	$160 – $169
21	Bcbs Tx fee schedule · outpatient	18	$184	$184	—	—	—	$184 – $184
22	Medicare fee schedule · outpatient · +4 other terms	18	$135	$136	$1	1%	—	$135 – $138
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$159	$183	$45	25%	—	$86 – $251
24	Bcbs Mn fee schedule · outpatient · +7 other terms	13	$144	$144	$34	23%	—	$70 – $169
25	Wellmark fee schedule · both · +6 other terms	13	$151	$150	$6	4%	—	$116 – $151

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