Alginate wound dressing, 16 sq. in. or less

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 ZETUVIT 413903 BORDER 6X6

Payers reporting HCPCS A6196

Payer pricing summary

Low

Average

$24

Median

$15

High

$240

Payer rate distribution

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#
1	Healthpartners facility · other · outpatient · +6 other terms	4	$10	$10	$6	57%	4–40	$6 – $18
2	Bcbs Wy other · both · +1 other terms	1	$35	$35	—	—	1–10	$35 – $35
3	UnitedHealthcare fee schedule · outpatient · +20 other terms	306	$11	$11	$6	57%	—	$3 – $55
4	Humana fee schedule · outpatient · +19 other terms	300	$10	$16	$17	106%	—	$3 – $81
5	Aetna fee schedule · outpatient · +20 other terms	283	$11	$13	$11	80%	—	$3 – $86
6	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	207	$11	$13	$7	54%	—	$0 – $74
7	WellCare fee schedule · outpatient · +10 other terms	185	$11	$11	$2	16%	—	$10 – $20
8	Devoted fee schedule · outpatient · +7 other terms	161	$10	$11	$0	2%	—	$10 – $11
9	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$11	$11	$0	3%	—	$10 – $11
10	Molina fee schedule · outpatient · +14 other terms	96	$15	$15	$11	72%	—	$7 – $118
11	Cigna fee schedule · outpatient · +18 other terms	80	$11	$13	$7	53%	—	$10 – $47
12	Anthem fee schedule · outpatient · +17 other terms	70	$10	$11	$1	8%	—	$10 – $17
13	Kaiser fee schedule · outpatient · +11 other terms	45	$10	$13	$7	56%	—	$7 – $47
14	Superior Healthplan fee schedule · outpatient	40	$11	$11	$0	0%	—	$10 – $11
15	Clover fee schedule · outpatient · +3 other terms	36	$10	$11	$0	3%	—	$10 – $11
16	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$10	$10	$3	29%	—	$7 – $36
17	Highmark facility · fee schedule · outpatient · +9 other terms	26	$19	$30	$21	71%	—	$5 – $101
18	Optum fee schedule · outpatient · +8 other terms	26	$10	$12	$5	42%	—	$7 – $26
19	Oscar fee schedule · outpatient · +7 other terms	25	$10	$11	$0	4%	—	$10 – $12
20	Caresource fee schedule · outpatient · +8 other terms	20	$10	$9	$2	16%	—	$7 – $10
21	Ambetter facility · fee schedule · outpatient · +12 other terms	19	$15	$16	$4	23%	—	$6 – $19
22	Medicare fee schedule · outpatient · +3 other terms	18	$10	$10	$0	1%	—	$10 – $10
23	Amerihealth Caritas fee schedule · outpatient · +6 other terms	16	$13	$12	$0	2%	—	$12 – $13
24	Aetna Better Health fee schedule · outpatient · +7 other terms	14	$6	$7	$2	32%	—	$5 – $10
25	Medica fee schedule · outpatient · +11 other terms	14	$18	$17	$8	46%	—	$3 – $26

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