Custom nipple prosthesis

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

Nipple prosthesis custom ea

Payers reporting HCPCS L8033

Payer pricing summary

Low

Average

$62

Median

$40

High

$150

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	61	$27	$30	$10	32%	—	$0 – $53
2	Bcbs Tx fee schedule · outpatient	30	$24	$25	$8	31%	—	$18 – $91
3	Anthem facility · case rate · outpatient · +4 other terms	15	$29	$31	$7	23%	—	$20 – $49
4	Caresource facility · case rate · outpatient · +4 other terms	15	$29	$31	$7	23%	—	$20 – $50
5	Molina facility · case rate · outpatient · +1 other terms	15	$29	$31	$7	23%	—	$20 – $49
6	UnitedHealthcare facility · case rate · outpatient · +2 other terms	15	$29	$32	$7	23%	—	$20 – $50
7	Optum facility · case rate · outpatient	11	$27	$30	$7	22%	—	$24 – $44
8	Highmark fee schedule · outpatient · +2 other terms	10	$34	$34	$0	1%	—	$33 – $34
9	Aetna percent of total billed charges · outpatientfrom % of charges	5	$91	$91	$13	15%	—	$75 – $102
10	Cigna other · outpatient	5	$80	$80	$28	35%	—	$22 – $95
11	Kaiser percent of total billed charges · outpatientfrom % of charges	5	$109	$109	$16	14%	—	$98 – $131
12	MultiPlan percent of total billed charges · inpatientfrom % of charges · +1 other terms	5	$128	$128	—	—	—	$128 – $128
13	Oscar percent of total billed charges · outpatientfrom % of charges	5	$71	$71	—	—	—	$71 – $71
14	Phcs percent of total billed charges · outpatientfrom % of charges	5	$113	$113	—	—	—	$113 – $113
15	Tricare fee schedule · outpatient	5	$150	$150	—	—	—	$150 – $150
16	Humana facility · other · outpatient	2	$42	$42	$6	15%	—	$36 – $49
17	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
18	Bcbs Nv fee schedule · outpatient	1	$28	$28	—	—	—	$28 – $28