Collagen wound dressing, Puracol, 4.25 x 4 inches

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

HC DRESSING COLLAGEN >16 = <48 SQ IN

Payers reporting HCPCS A6022

Payer pricing summary

Low

$16

Average

$237

Median

$48

High

$3.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	315	$30	$39	$84	214%	—	$6 – $824
2	Humana fee schedule · outpatient · +18 other terms	314	$30	$46	$47	101%	—	$14 – $230
3	Aetna fee schedule · outpatient · +21 other terms	272	$30	$48	$126	261%	—	$1 – $1.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	203	$31	$36	$16	43%	—	$0 – $115
5	WellCare fee schedule · outpatient · +11 other terms	185	$31	$32	$5	16%	—	$29 – $58
6	Devoted fee schedule · outpatient · +6 other terms	162	$30	$30	$1	2%	—	$29 – $32
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$31	$31	$1	3%	—	$30 – $32
8	Molina fee schedule · outpatient · +12 other terms	98	$41	$49	$121	245%	—	$1 – $1.8k
9	Cigna fee schedule · outpatient · +19 other terms	88	$31	$43	$81	191%	—	$7 – $710
10	Anthem fee schedule · outpatient · +13 other terms	79	$29	$14	$10	70%	—	$1 – $49
11	Kaiser fee schedule · outpatient · +12 other terms	40	$29	$46	$104	225%	—	$29 – $710
12	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$31	$31	$0	0%	—	$29 – $31
13	Clover fee schedule · outpatient · +2 other terms	37	$30	$30	$1	3%	—	$29 – $31
14	Bcbs Tx fee schedule · outpatient	31	$28	$28	$8	29%	—	$21 – $103
15	Caresource fee schedule · outpatient · +9 other terms	31	$30	$81	$46	57%	—	$19 – $122
16	Optum fee schedule · outpatient · +7 other terms	31	$29	$28	$15	55%	—	$10 – $75
17	Oscar fee schedule · outpatient · +8 other terms	24	$29	$30	$1	3%	—	$29 – $31
18	Ambetter facility · fee schedule · outpatient · +10 other terms	18	$43	$47	$9	20%	—	$15 – $54
19	Medicare fee schedule · outpatient · +4 other terms	18	$29	$29	$0	1%	—	$29 – $29
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	16	$36	$36	$1	2%	—	$34 – $36
21	Aetna Better Health fee schedule · outpatient · +6 other terms	13	$14	$23	$8	34%	—	$14 – $30
22	Tricare fee schedule · outpatient · +3 other terms	13	$30	$2.9k	$3.9k	133%	—	$30 – $8.2k
23	Wellmark fee schedule · both · +1 other terms	13	$26	$26	$1	3%	—	$22 – $26
24	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$26	$16	$14	84%	—	$0 – $32
25	Bcbs Nj fee schedule · outpatient	12	$29	$63	$43	68%	—	$29 – $130

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