Adhesive remover wipes

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-Wipe Adhesive Remover per Box

Payers reporting HCPCS A4456

Payer pricing summary

Low

Average

Median

High

$35

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +12 other terms	306	$0	$1	$1	134%	—	$0 – $7
2	UnitedHealthcare fee schedule · outpatient · +17 other terms	293	$0	$0	$0	116%	—	$0 – $9
3	Aetna fee schedule · outpatient · +14 other terms	272	$0	$0	$1	159%	—	$0 – $7
4	WellCare fee schedule · outpatient · +6 other terms	185	$0	$0	$0	19%	—	$0 – $1
5	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	181	$0	$0	$0	53%	—	$0 – $4
6	Devoted fee schedule · outpatient · +4 other terms	163	$0	$0	$0	3%	—	$0 – $0
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$0	$0	$0	3%	—	$0 – $0
8	Molina fee schedule · outpatient · +6 other terms	97	$0	$0	$0	40%	—	$0 – $1
9	Cigna fee schedule · outpatient · +13 other terms	82	$0	$1	$2	179%	—	$0 – $7
10	Anthem fee schedule · outpatient · +11 other terms	76	$0	$0	$0	51%	—	$0 – $1
11	Superior Healthplan fee schedule · outpatient	40	$0	$0	—	—	—	$0 – $0
12	Kaiser fee schedule · outpatient · +5 other terms	39	$0	$0	$0	3%	—	$0 – $0
13	Clover fee schedule · outpatient · +1 other terms	37	$0	$0	$0	3%	—	$0 – $0
14	Bcbs Tx fee schedule · outpatient	31	$0	$0	$0	31%	—	$0 – $1
15	Optum fee schedule · outpatient · +4 other terms	25	$0	$0	$0	43%	—	$0 – $1
16	Oscar fee schedule · outpatient · +3 other terms	24	$0	$0	$0	3%	—	$0 – $0
17	Caresource facility · case rate · outpatient · +6 other terms	20	$15	$12	$8	66%	—	$0 – $27
18	Ambetter facility · fee schedule · outpatient · +6 other terms	19	$1	$1	$0	26%	—	$0 – $1
19	Medicare fee schedule · outpatient · +2 other terms	18	$0	$0	—	—	—	$0 – $0
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	16	$0	$0	$0	2%	—	$0 – $0
21	Highmark facility · fee schedule · outpatient · +6 other terms	15	$1	$1	$0	52%	—	$0 – $1
22	Medcost facility · percent of total billed charges · bothfrom % of charges	14	$0	$0	$1	224%	—	$0 – $3
23	Aetna Better Health fee schedule · outpatient · +3 other terms	13	$0	$0	$0	38%	—	$0 – $0
24	Wellmark fee schedule · both · +3 other terms	13	$0	$0	$0	9%	—	$0 – $1
25	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$0	$0	$0	78%	—	$0 – $1

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