Replacement belt or vest for electrical or combination 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

Br-Hmii Belt Modular Lrg

Payers reporting HCPCS Q0499

Payer pricing summary

Low

$52

Average

$581

Median

$406

High

$1.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	380	$208	$404	$484	120%	—	$1 – $3.3k
2	Aetna fee schedule · outpatient · +23 other terms	370	$208	$234	$295	126%	—	$1 – $6.7k
3	Humana fee schedule · outpatient · +21 other terms	335	$207	$419	$541	129%	—	$1 – $3.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	232	$211	$409	$348	85%	—	$0 – $2.7k
5	WellCare fee schedule · outpatient · +10 other terms	218	$213	$217	$32	15%	—	$121 – $391
6	Devoted fee schedule · outpatient · +6 other terms	165	$207	$208	$5	2%	—	$200 – $250
7	Molina fee schedule · outpatient · +15 other terms	144	$299	$282	$140	50%	—	$1 – $729
8	Cigna fee schedule · outpatient · +19 other terms	125	$213	$852	$940	110%	—	$95 – $9.4k
9	Cigna Healthspring fee schedule · outpatient · +4 other terms	116	$211	$211	$7	3%	—	$207 – $252
10	Anthem fee schedule · outpatient · +17 other terms	96	$204	$170	$346	203%	—	$12 – $2.8k
11	Kaiser fee schedule · outpatient · +13 other terms	70	$212	$554	$450	81%	—	$200 – $2.2k
12	Ambetter facility · fee schedule · outpatient · +10 other terms	45	$347	$352	$102	29%	—	$108 – $517
13	Optum fee schedule · outpatient · +12 other terms	44	$207	$1.1k	$1.2k	112%	—	$198 – $8.1k
14	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$217	$217	$1	0%	—	$203 – $217
15	Clover fee schedule · outpatient · +3 other terms	37	$207	$208	$11	5%	—	$197 – $245
16	Oscar fee schedule · outpatient · +11 other terms	35	$217	$235	$48	20%	—	$202 – $347
17	Caresource fee schedule · outpatient · +9 other terms	29	$207	$146	$115	79%	—	$1 – $318
18	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$939	$883	$312	35%	—	$534 – $1.7k
19	Amerihealth Caritas fee schedule · outpatient · +7 other terms	24	$248	$224	$23	10%	—	$199 – $248
20	Medica facility · fee schedule · outpatient · +10 other terms	22	$210	$211	$82	39%	—	$69 – $521
21	Tricare fee schedule · outpatient · +6 other terms	20	$193	$181	$19	11%	—	$160 – $207
22	Regence facility · fee schedule · outpatient · +5 other terms	19	$216	$208	$17	8%	—	$167 – $221
23	Bcbs Tx fee schedule · outpatient	18	$203	$203	—	—	—	$203 – $203
24	Medicare fee schedule · outpatient · +4 other terms	18	$200	$201	$2	1%	—	$200 – $204
25	Highmark fee schedule · outpatient · +9 other terms	17	$208	$213	$73	34%	—	$92 – $471

Page 1 of 3 · 58 payers