Puracol collagen dressing, 1 x 8 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

DRESSING ENDOFORM 2X2 ANTIMICROBIAL FENESTRATED 629312

Payers reporting HCPCS A6021

Payer pricing summary

Low

Average

$157

Median

$43

High

$2.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	328	$30	$37	$38	103%	—	$1 – $383
2	Humana fee schedule · outpatient · +21 other terms	304	$30	$44	$47	107%	—	$1 – $230
3	Aetna fee schedule · outpatient · +23 other terms	281	$30	$38	$44	118%	—	$1 – $463
4	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	215	$31	$36	$15	43%	—	$0 – $115
5	WellCare fee schedule · outpatient · +14 other terms	185	$31	$32	$5	16%	—	$29 – $58
6	Devoted fee schedule · outpatient · +7 other terms	161	$30	$30	$1	2%	—	$29 – $32
7	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$31	$31	$1	3%	—	$30 – $32
8	Molina fee schedule · outpatient · +16 other terms	97	$42	$44	$44	101%	—	$1 – $638
9	Cigna fee schedule · outpatient · +21 other terms	88	$31	$38	$36	95%	—	$7 – $313
10	Anthem fee schedule · outpatient · +18 other terms	80	$29	$14	$10	70%	—	$1 – $49
11	Kaiser fee schedule · outpatient · +13 other terms	43	$29	$37	$32	88%	—	$17 – $255
12	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$31	$31	$0	0%	—	$29 – $31
13	Clover fee schedule · outpatient · +4 other terms	36	$30	$30	$1	3%	—	$29 – $31
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$28	$28	$8	29%	—	$21 – $103
15	Caresource fee schedule · outpatient · +10 other terms	31	$30	$102	$38	37%	—	$1 – $122
16	Optum fee schedule · outpatient · +7 other terms	31	$29	$28	$15	55%	—	$10 – $75
17	Oscar fee schedule · outpatient · +8 other terms	25	$29	$30	$1	4%	—	$29 – $34
18	Medicare fee schedule · outpatient · +6 other terms	19	$29	$29	$0	1%	—	$29 – $30
19	Ambetter facility · fee schedule · outpatient · +14 other terms	17	$43	$43	$13	31%	—	$15 – $54
20	Amerihealth Caritas fee schedule · outpatient · +5 other terms	16	$36	$36	$1	2%	—	$34 – $36
21	Beechstreet percent of total billed charges · inpatientfrom % of charges · +2 other terms	15	$357	$427	$137	32%	—	$345 – $701
22	Aetna Better Health fee schedule · outpatient · +9 other terms	14	$17	$24	$7	31%	—	$14 – $30
23	Medcost percent of total billed charges · inpatientfrom % of charges · +4 other terms	14	$231	$265	$114	43%	—	$123 – $742
24	Tricare fee schedule · outpatient · +6 other terms	13	$30	$2.3k	$3.0k	132%	—	$30 – $6.3k
25	Wellmark fee schedule · both · +7 other terms	13	$26	$26	$1	3%	—	$22 – $26

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