Skin barrier solid wafer, 6 x 6 inch

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

Solid skin barrier 6x6

Payers reporting HCPCS A5121

Payer pricing summary

Low

Average

$12

Median

$11

High

$34

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +10 other terms	299	$10	$15	$16	107%	—	$5 – $78
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	288	$10	$10	$1	15%	—	$4 – $12
3	Aetna fee schedule · outpatient · +10 other terms	265	$10	$11	$6	52%	—	$4 – $73
4	WellCare fee schedule · outpatient · +5 other terms	184	$10	$11	$2	14%	—	$9 – $18
5	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	180	$11	$12	$5	44%	—	$0 – $38
6	Devoted fee schedule · outpatient · +2 other terms	163	$10	$10	$1	5%	—	$9 – $11
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$10	$10	$0	4%	—	$9 – $11
8	Molina fee schedule · outpatient · +5 other terms	96	$14	$14	$5	39%	—	$8 – $27
9	Cigna fee schedule · outpatient · +9 other terms	77	$11	$11	$2	19%	—	$10 – $23
10	Anthem fee schedule · outpatient · +8 other terms	73	$10	$10	$1	11%	—	$9 – $17
11	Superior Healthplan fee schedule · outpatient	40	$11	$11	$0	0%	—	$10 – $11
12	Kaiser fee schedule · outpatient · +7 other terms	39	$10	$11	$0	2%	—	$10 – $11
13	Clover fee schedule · outpatient · +1 other terms	37	$9	$10	$1	9%	—	$9 – $11
14	Bcbs Tx fee schedule · outpatient	31	$9	$10	$3	29%	—	$7 – $35
15	Optum fee schedule · outpatient · +2 other terms	25	$10	$12	$5	41%	—	$9 – $25
16	Oscar fee schedule · outpatient · +3 other terms	24	$10	$10	$0	2%	—	$9 – $10
17	Caresource facility · case rate · outpatient · +5 other terms	20	$16	$17	$4	24%	—	$10 – $27
18	Medicare fee schedule · outpatient	18	$10	$10	$1	7%	—	$9 – $10
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$11	$11	$1	5%	—	$11 – $12
20	Wellmark fee schedule · both · +1 other terms	13	$9	$9	$0	3%	—	$8 – $9
21	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$5	$7	$3	37%	—	$5 – $10
22	Ambetter case rate · outpatient · +6 other terms	12	$15	$15	$1	6%	—	$13 – $17
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$8	$6	$4	78%	—	$0 – $11
24	Bcbs Nj fee schedule · outpatient	12	$9	$20	$13	68%	—	$9 – $40
25	Highmark fee schedule · outpatient · +5 other terms	10	$10	$10	$4	36%	—	$4 – $22

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