Alginate wound dressing, 8x12 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

ALGINATE OR OTHER FIBER GELLING DRESSING; WOUND COVER; STERILE; PAD SIZE MORE THAN 48 SQ IN; EACH DRESSING

Payers reporting HCPCS A6198

Payer pricing summary

Low

Average

$93

Median

$52

High

$659

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	39	$42	$92	$176	191%	—	$13 – $1.3k
2	Aetna fee schedule · outpatient · +17 other terms	35	$25	$133	$266	201%	—	$12 – $1.1k
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +18 other terms	30	$33	$36	$32	87%	—	$0 – $122
4	Anthem facility · case rate · outpatient · +8 other terms	15	$10	$11	$3	23%	—	$7 – $17
5	Caresource facility · case rate · outpatient · +6 other terms	15	$10	$11	$3	23%	—	$7 – $17
6	Molina facility · case rate · outpatient · +9 other terms	15	$10	$11	$3	23%	—	$7 – $17
7	MultiPlan fee schedule · inpatient · +11 other terms	13	$79	$639	$679	106%	—	$75 – $1.5k
8	Wellmark fee schedule · both · +2 other terms	13	$8	$8	—	—	—	$8 – $8
9	Bcbs Mn fee schedule · outpatient · +6 other terms	12	$52	$33	$29	86%	—	$0 – $65
10	Optum facility · case rate · outpatient · +1 other terms	11	$10	$10	$2	22%	—	$9 – $15
11	Cigna professional · fee schedule · outpatient · +13 other terms	10	$29	$29	—	—	—	$29 – $29
12	Highmark fee schedule · outpatient · +3 other terms	10	$28	$28	—	—	—	$28 – $28
13	Humana fee schedule · outpatient · +13 other terms	10	$534	$534	$514	96%	—	$20 – $1.0k
14	Ucare facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	10	$40	$42	$7	16%	—	$40 – $62
15	First Health professional · fee schedule · both · +10 other terms	8	$0	$8	$11	129%	—	$0 – $22
16	Phcs fee schedule · inpatient · +8 other terms	8	$66	$415	$604	146%	—	$66 – $1.5k
17	WellCare professional · fee schedule · both · +2 other terms	8	$0	$0	—	—	—	$0 – $0
18	Aetna Better Health fee schedule · inpatient · +5 other terms	7	$21	$21	—	—	—	$21 – $21
19	Bcbs Il professional · fee schedule · both	7	$0	$0	—	—	—	$0 – $0
20	Medica fee schedule · outpatient · +10 other terms	7	$70	$92	$59	64%	—	$58 – $237
21	Ambetter fee schedule · outpatient · +5 other terms	4	$436	$415	$295	71%	—	$118 – $922
22	Healthpartners facility · other · outpatient · +5 other terms	4	$134	$134	—	—	—	$134 – $134
23	Medical Mutual facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	4	$52	$51	$35	69%	—	$11 – $91
24	Amerihealth Caritas professional · fee schedule · outpatient · +2 other terms	3	$23	$23	$0	2%	—	$22 – $23
25	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$36	$38	$2	6%	—	$36 – $41

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