Gel-fiber wound dressing, 0.75 x 18 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

HB-Dress Aquacel Ag Rope Bx

Payers reporting HCPCS A6199

Payer pricing summary

Low

Average

$27

Median

$11

High

$138

Payer rate distribution

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#
1	Healthpartners facility · other · outpatient · +6 other terms	4	$6	$6	$0	4%	4–40	$6 – $6
2	UnitedHealthcare fee schedule · outpatient · +22 other terms	331	$8	$15	$27	181%	—	$3 – $122
3	Humana fee schedule · outpatient · +18 other terms	309	$8	$11	$12	104%	—	$3 – $58
4	Aetna fee schedule · outpatient · +20 other terms	276	$8	$8	$4	51%	—	$2 – $46
5	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	207	$8	$10	$6	62%	—	$0 – $66
6	WellCare fee schedule · outpatient · +11 other terms	186	$8	$8	$1	16%	—	$7 – $15
7	Devoted fee schedule · outpatient · +6 other terms	162	$8	$8	$0	2%	—	$7 – $8
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$8	$8	$0	3%	—	$8 – $8
9	Molina fee schedule · outpatient · +14 other terms	96	$11	$10	$4	42%	—	$6 – $37
10	Cigna fee schedule · outpatient · +19 other terms	78	$8	$8	$2	26%	—	$7 – $19
11	Anthem fee schedule · outpatient · +15 other terms	76	$7	$8	$3	40%	—	$7 – $37
12	Kaiser fee schedule · outpatient · +11 other terms	43	$7	$8	$2	29%	—	$7 – $18
13	Superior Healthplan fee schedule · outpatient	40	$8	$8	$0	1%	—	$7 – $8
14	Clover fee schedule · outpatient · +1 other terms	37	$8	$8	$0	3%	—	$7 – $8
15	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$7	$7	$2	29%	—	$5 – $26
16	Caresource fee schedule · outpatient · +9 other terms	31	$8	$98	$46	47%	—	$5 – $122
17	Medica fee schedule · outpatient · +11 other terms	27	$19	$21	$10	47%	—	$9 – $40
18	Optum fee schedule · outpatient · +6 other terms	25	$8	$9	$4	42%	—	$7 – $19
19	Oscar fee schedule · outpatient · +6 other terms	25	$7	$8	$0	4%	—	$7 – $8
20	Ambetter facility · fee schedule · outpatient · +12 other terms	20	$12	$13	$1	10%	—	$11 – $14
21	MultiPlan fee schedule · outpatient · +15 other terms	19	$37	$35	$7	20%	—	$7 – $40
22	Highmark facility · fee schedule · outpatient · +8 other terms	18	$14	$17	$13	78%	—	$2 – $73
23	Medicare fee schedule · outpatient · +3 other terms	18	$7	$7	$0	1%	—	$7 – $7
24	Amerihealth Caritas fee schedule · outpatient · +5 other terms	16	$9	$9	$0	2%	—	$9 – $9
25	Aetna Better Health fee schedule · outpatient · +6 other terms	13	$4	$5	$2	36%	—	$4 – $8

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