Large sterile hydrogel wound dressing pad

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

Hydrogel drg >16<=48 in w/b

Payers reporting HCPCS A6246

Payer pricing summary

Low

Average

$18

Median

$15

High

$54

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +10 other terms	299	$14	$22	$23	105%	—	$6 – $109
2	UnitedHealthcare fee schedule · outpatient · +12 other terms	288	$14	$14	$2	14%	—	$6 – $16
3	Aetna fee schedule · outpatient · +9 other terms	265	$14	$15	$7	48%	—	$6 – $86
4	WellCare fee schedule · outpatient · +4 other terms	184	$15	$15	$2	16%	—	$14 – $28
5	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	181	$14	$17	$8	44%	—	$0 – $59
6	Devoted fee schedule · outpatient · +3 other terms	163	$14	$14	$0	2%	—	$14 – $15
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$15	$14	$0	3%	—	$14 – $15
8	Molina fee schedule · outpatient · +5 other terms	96	$19	$19	$8	39%	—	$12 – $37
9	Cigna fee schedule · outpatient · +8 other terms	77	$14	$16	$4	24%	—	$14 – $35
10	Anthem fee schedule · outpatient · +6 other terms	73	$14	$14	$1	8%	—	$14 – $23
11	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$15	$15	$0	0%	—	$14 – $15
12	Kaiser fee schedule · outpatient · +4 other terms	39	$14	$14	$0	2%	—	$14 – $14
13	Clover fee schedule · outpatient · +1 other terms	37	$14	$14	$0	3%	—	$14 – $15
14	Bcbs Tx fee schedule · outpatient	31	$13	$13	$4	29%	—	$10 – $48
15	Optum fee schedule · outpatient · +3 other terms	25	$14	$16	$7	42%	—	$14 – $35
16	Oscar fee schedule · outpatient · +2 other terms	24	$14	$14	$0	3%	—	$14 – $15
17	Caresource facility · case rate · outpatient · +5 other terms	20	$16	$18	$5	28%	—	$10 – $28
18	Medicare fee schedule · outpatient	18	$14	$14	$0	1%	—	$14 – $14
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$17	$17	$0	2%	—	$16 – $17
20	Wellmark fee schedule · both · +1 other terms	13	$12	$12	$0	3%	—	$10 – $12
21	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$7	$10	$4	37%	—	$7 – $14
22	Ambetter case rate · outpatient · +5 other terms	12	$20	$21	$1	4%	—	$20 – $22
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$12	$8	$6	81%	—	$0 – $15
24	Bcbs Nj fee schedule · outpatient	12	$14	$30	$20	68%	—	$14 – $61
25	Highmark fee schedule · outpatient · +5 other terms	10	$15	$15	$5	36%	—	$7 – $33

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