Hydrogel wound dressing pad, larger than 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

HB-Elasto-Gel 6x8, Each

Payers reporting HCPCS A6233

Payer pricing summary

Low

Average

$32

Median

$28

High

$93

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +9 other terms	300	$27	$42	$44	105%	—	$13 – $210
2	UnitedHealthcare fee schedule · outpatient · +11 other terms	289	$27	$26	$4	15%	—	$6 – $31
3	Aetna fee schedule · outpatient · +9 other terms	266	$28	$30	$14	48%	—	$12 – $164
4	WellCare fee schedule · outpatient · +5 other terms	185	$28	$29	$5	16%	—	$27 – $53
5	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	180	$28	$33	$14	43%	—	$0 – $95
6	Devoted fee schedule · outpatient · +3 other terms	163	$27	$27	$1	2%	—	$26 – $29
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$28	$28	$1	3%	—	$27 – $30
8	Molina fee schedule · outpatient · +5 other terms	96	$37	$38	$15	39%	—	$23 – $72
9	Cigna fee schedule · outpatient · +6 other terms	77	$28	$30	$7	24%	—	$26 – $68
10	Anthem fee schedule · outpatient · +8 other terms	74	$27	$27	$2	8%	—	$26 – $45
11	Superior Healthplan fee schedule · outpatient	40	$29	$29	$0	0%	—	$27 – $29
12	Kaiser fee schedule · outpatient · +4 other terms	39	$27	$27	$1	2%	—	$26 – $28
13	Clover fee schedule · outpatient · +1 other terms	37	$27	$28	$1	3%	—	$27 – $29
14	Bcbs Tx fee schedule · outpatient	31	$25	$26	$8	29%	—	$19 – $94
15	Optum fee schedule · outpatient · +3 other terms	25	$27	$32	$13	42%	—	$26 – $68
16	Oscar fee schedule · outpatient · +2 other terms	24	$27	$28	$1	3%	—	$27 – $29
17	Caresource facility · case rate · outpatient · +4 other terms	20	$11	$20	$16	79%	—	$7 – $55
18	Medicare fee schedule · outpatient	18	$26	$26	$0	1%	—	$26 – $27
19	Ambetter facility · fee schedule · outpatient · +5 other terms	16	$44	$44	$5	11%	—	$40 – $49
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$33	$32	$1	2%	—	$31 – $33
21	Wellmark fee schedule · both · +1 other terms	13	$24	$24	$1	3%	—	$20 – $24
22	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$13	$19	$7	37%	—	$13 – $27
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$23	$15	$13	84%	—	$0 – $29
24	Bcbs Nj fee schedule · outpatient	12	$27	$58	$39	68%	—	$27 – $119
25	Highmark fee schedule · outpatient · +4 other terms	10	$28	$29	$10	36%	—	$13 – $64

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