Large sterile hydrocolloid wound dressing pad without adhesive border

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

HYDROCOLLD DRG > 48 IN W/O B

Payers reporting HCPCS A6236

Payer pricing summary

Low

$10

Average

$125

Median

$40

High

$1.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +14 other terms	303	$39	$43	$22	51%	—	$14 – $122
2	Humana fee schedule · outpatient · +12 other terms	301	$39	$59	$62	105%	—	$18 – $299
3	Aetna fee schedule · outpatient · +12 other terms	267	$39	$42	$20	48%	—	$17 – $235
4	WellCare fee schedule · outpatient · +5 other terms	185	$40	$41	$7	16%	—	$38 – $76
5	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	182	$40	$47	$22	46%	—	$0 – $162
6	Devoted fee schedule · outpatient · +3 other terms	163	$39	$39	$1	2%	—	$37 – $41
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$40	$40	$1	3%	—	$39 – $42
8	Molina fee schedule · outpatient · +5 other terms	97	$50	$53	$21	39%	—	$32 – $102
9	Cigna fee schedule · outpatient · +9 other terms	77	$40	$43	$10	24%	—	$37 – $97
10	Anthem fee schedule · outpatient · +8 other terms	75	$38	$39	$3	8%	—	$37 – $63
11	Superior Healthplan fee schedule · outpatient	40	$41	$41	$0	0%	—	$38 – $41
12	Kaiser fee schedule · outpatient · +4 other terms	39	$38	$38	$1	2%	—	$37 – $40
13	Clover fee schedule · outpatient · +1 other terms	37	$39	$39	$1	3%	—	$38 – $41
14	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$36	$37	$11	29%	—	$27 – $133
15	Caresource fee schedule · outpatient · +4 other terms	30	$39	$105	$33	32%	—	$39 – $122
16	Optum fee schedule · outpatient · +3 other terms	25	$39	$45	$19	42%	—	$37 – $97
17	Oscar fee schedule · outpatient · +2 other terms	24	$38	$39	$1	3%	—	$38 – $41
18	Medicare fee schedule · outpatient	18	$37	$37	$0	1%	—	$37 – $38
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	16	$47	$46	$1	2%	—	$44 – $47
20	Aetna Better Health fee schedule · outpatient · +3 other terms	13	$18	$27	$10	36%	—	$18 – $39
21	Wellmark fee schedule · both · +1 other terms	13	$34	$34	$1	3%	—	$28 – $34
22	Ambetter case rate · outpatient · +6 other terms	12	$55	$57	$2	4%	—	$55 – $61
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$33	$21	$18	85%	—	$0 – $41
24	Bcbs Nj fee schedule · outpatient	12	$38	$82	$56	68%	—	$38 – $168
25	Highmark fee schedule · outpatient · +4 other terms	10	$40	$41	$15	36%	—	$18 – $91

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