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.
Original text from hospital filings
TAPE DRESSING GENTAC
Low
$0
Average
$30
Median
$4
High
$720
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
51 payers; the 90th percentile is 76.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +11 other terms | 256 | $1 | $1 | $1 | 106% | — | $0 – $4 |
| 2 | UnitedHealthcare fee schedule · outpatient · +17 other terms | 235 | $1 | $0 | $0 | 16% | — | $0 – $1 |
| 3 | Aetna fee schedule · outpatient · +16 other terms | 230 | $1 | $1 | $6 | 568% | — | $0 – $79 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +18 other terms | 182 | $1 | $1 | $0 | 49% | — | $0 – $2 |
| 5 | WellCare fee schedule · outpatient · +4 other terms | 170 | $1 | $1 | $0 | 17% | — | $0 – $1 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 151 | $1 | $1 | $0 | 2% | — | $0 – $1 |
| 7 | Cigna Healthspring fee schedule · outpatient | 104 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 8 | Molina fee schedule · outpatient · +11 other terms | 91 | $1 | $1 | $0 | 38% | — | $0 – $1 |
| 9 | Cigna fee schedule · outpatient · +16 other terms | 61 | $1 | $1 | $0 | 30% | — | $0 – $1 |
| 10 | Superior Healthplan fee schedule · outpatient · +1 other terms | 40 | $1 | $1 | $1 | 112% | — | $1 – $8 |
| 11 | Anthem fee schedule · outpatient · +10 other terms | 35 | $1 | $1 | $0 | 31% | — | $0 – $1 |
| 12 | Clover fee schedule · outpatient | 32 | $1 | $1 | $0 | 4% | — | $0 – $1 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $1 | $1 | $0 | 29% | — | $0 – $2 |
| 14 | Kaiser fee schedule · outpatient · +6 other terms | 24 | $1 | $1 | $0 | 4% | — | $0 – $1 |
| 15 | Optum fee schedule · outpatient · +6 other terms | 24 | $1 | $1 | $0 | 37% | — | $0 – $1 |
| 16 | Oscar fee schedule · outpatient · +3 other terms | 24 | $0 | $1 | $0 | 4% | — | $0 – $1 |
| 17 | Carefirst facility · percent of total billed charges · bothfrom % of charges | 22 | $9 | $12 | $6 | 54% | — | $5 – $26 |
| 18 | Premera facility · percent of total billed charges · bothfrom % of charges | 20 | $9 | $12 | $7 | 56% | — | $5 – $26 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +4 other terms | 16 | $1 | $1 | $0 | 2% | — | $1 – $1 |
| 20 | Caresource fee schedule · outpatient · +5 other terms | 15 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Medicare fee schedule · outpatient · +3 other terms | 15 | $1 | $1 | $0 | 4% | — | $0 – $1 |
| 22 | Medcost facility · percent of total billed charges · bothfrom % of charges | 14 | $10 | $11 | $3 | 26% | — | $8 – $15 |
| 23 | Wellmark fee schedule · both · +4 other terms | 13 | $0 | $0 | — | — | — | $0 – $1 |
| 24 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $0 | $1 | $0 | 57% | — | $0 – $1 |
| 25 | Bcbs Nj fee schedule · outpatient | 12 | $0 | $1 | $1 | 68% | — | $0 – $2 |
← Hospitals reporting HCPCS A4452 · Snapshot 20261111T120946Z-9134e7f7