Sterile wound contact dressing, 16 to 48 square 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

DRSNG SHLDR/ELBOW LG JUMPSTART

Payers reporting HCPCS A6207

Payer pricing summary

Low

Average

$43

Median

$18

High

$242

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +18 other terms	338	$11	$19	$27	142%	—	$1 – $122
2	Humana fee schedule · outpatient · +17 other terms	316	$10	$16	$17	103%	—	$1 – $80
3	Aetna fee schedule · outpatient · +20 other terms	286	$11	$12	$7	58%	—	$3 – $63
4	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	220	$11	$13	$8	60%	—	$0 – $78
5	WellCare fee schedule · outpatient · +9 other terms	187	$11	$11	$2	16%	—	$10 – $20
6	Devoted fee schedule · outpatient · +6 other terms	162	$10	$11	$0	2%	—	$10 – $11
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$11	$11	$0	3%	—	$10 – $11
8	Molina fee schedule · outpatient · +10 other terms	97	$15	$15	$7	48%	—	$1 – $68
9	Cigna fee schedule · outpatient · +16 other terms	88	$11	$14	$7	48%	—	$7 – $42
10	Anthem fee schedule · outpatient · +14 other terms	71	$10	$9	$4	46%	—	$0 – $23
11	Kaiser fee schedule · outpatient · +9 other terms	43	$10	$12	$4	33%	—	$10 – $27
12	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$11	$11	$0	0%	—	$10 – $11
13	Clover fee schedule · outpatient · +2 other terms	37	$10	$11	$0	3%	—	$10 – $11
14	Caresource fee schedule · outpatient · +6 other terms	34	$10	$95	$47	50%	—	$1 – $122
15	Bcbs Tx fee schedule · outpatient	31	$10	$10	$3	29%	—	$7 – $36
16	Optum fee schedule · outpatient · +6 other terms	25	$10	$12	$5	42%	—	$10 – $26
17	Oscar fee schedule · outpatient · +7 other terms	25	$10	$11	$0	4%	—	$10 – $12
18	MultiPlan fee schedule · outpatient · +14 other terms	24	$55	$57	$21	37%	—	$8 – $78
19	Medica fee schedule · outpatient · +8 other terms	23	$31	$33	$19	59%	—	$12 – $79
20	Ambetter facility · fee schedule · outpatient · +9 other terms	18	$15	$16	$4	23%	—	$6 – $19
21	Medicare fee schedule · outpatient · +3 other terms	18	$10	$10	$0	1%	—	$10 – $10
22	Amerihealth Caritas fee schedule · outpatient · +4 other terms	16	$13	$12	$0	2%	—	$12 – $13
23	Medcost percent of total billed charges · bothfrom % of charges · +3 other terms	15	$73	$74	$19	26%	—	$51 – $98
24	Phcs fee schedule · inpatient · +8 other terms	15	$55	$53	$15	28%	—	$25 – $72
25	Aetna Better Health fee schedule · outpatient · +7 other terms	14	$6	$8	$3	34%	—	$5 – $10

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