Reusable surgical dressing holder

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

facility

Payers reporting HCPCS A4463

Payer pricing summary

Low

Average

$26

Median

$20

High

$90

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +12 other terms	299	$19	$29	$30	105%	—	$9 – $146
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	288	$19	$18	$3	14%	—	$8 – $22
3	Aetna fee schedule · outpatient · +14 other terms	265	$19	$21	$10	48%	—	$8 – $114
4	WellCare fee schedule · outpatient · +7 other terms	184	$20	$20	$3	16%	—	$19 – $37
5	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	181	$19	$23	$10	43%	—	$0 – $66
6	Devoted fee schedule · outpatient · +3 other terms	163	$19	$19	$0	2%	—	$18 – $20
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$20	$19	$1	3%	—	$19 – $20
8	Molina fee schedule · outpatient · +8 other terms	96	$26	$26	$10	39%	—	$16 – $50
9	Cigna fee schedule · outpatient · +12 other terms	77	$19	$21	$5	24%	—	$18 – $47
10	Anthem fee schedule · outpatient · +7 other terms	73	$19	$19	$2	8%	—	$18 – $31
11	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$20	$20	$0	1%	—	$19 – $20
12	Kaiser fee schedule · outpatient · +5 other terms	39	$19	$19	$0	2%	—	$18 – $19
13	Clover fee schedule · outpatient · +1 other terms	37	$19	$19	$1	3%	—	$19 – $20
14	Bcbs Tx fee schedule · outpatient	31	$17	$18	$5	29%	—	$13 – $65
15	Optum fee schedule · outpatient · +2 other terms	25	$19	$22	$9	42%	—	$18 – $47
16	Oscar fee schedule · outpatient · +2 other terms	24	$19	$19	$1	3%	—	$19 – $20
17	Caresource facility · case rate · outpatient · +7 other terms	20	$11	$17	$10	60%	—	$7 – $38
18	Medicare fee schedule · outpatient	18	$18	$18	$0	1%	—	$18 – $19
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	16	$23	$23	$0	2%	—	$22 – $23
20	Wellmark fee schedule · both · +1 other terms	13	$17	$17	$1	3%	—	$14 – $17
21	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$9	$12	$4	37%	—	$9 – $19
22	Ambetter case rate · outpatient · +7 other terms	12	$27	$28	$1	4%	—	$27 – $30
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$16	$11	$9	83%	—	$0 – $20
24	Bcbs Nj fee schedule · outpatient	12	$19	$40	$27	68%	—	$19 – $82
25	Highmark fee schedule · outpatient · +7 other terms	10	$19	$20	$7	36%	—	$9 – $45

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