Sterile transparent wound dressing, large size

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

HC (SUP SHELL A6259) TRANSPARENT FILM > 48 SQ IN

Payers reporting HCPCS A6259

Payer pricing summary

Low

Average

$38

Median

$16

High

$951

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +12 other terms	300	$16	$24	$25	105%	—	$7 – $120
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	292	$16	$15	$2	15%	—	$2 – $18
3	Aetna fee schedule · outpatient · +11 other terms	269	$16	$17	$8	48%	—	$7 – $94
4	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	185	$16	$19	$8	44%	—	$0 – $65
5	WellCare fee schedule · outpatient · +8 other terms	185	$16	$17	$3	16%	—	$15 – $30
6	Devoted fee schedule · outpatient · +2 other terms	163	$16	$16	$0	2%	—	$15 – $17
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$16	$16	$0	3%	—	$16 – $17
8	Molina fee schedule · outpatient · +8 other terms	96	$21	$21	$8	39%	—	$13 – $41
9	Cigna fee schedule · outpatient · +15 other terms	77	$16	$17	$4	24%	—	$15 – $39
10	Anthem fee schedule · outpatient · +12 other terms	74	$15	$16	$1	8%	—	$15 – $25
11	Superior Healthplan fee schedule · outpatient	40	$16	$16	$0	0%	—	$15 – $16
12	Kaiser fee schedule · outpatient · +7 other terms	39	$15	$15	$0	2%	—	$15 – $16
13	Clover fee schedule · outpatient · +1 other terms	37	$16	$16	$0	3%	—	$15 – $16
14	Bcbs Tx fee schedule · outpatient	31	$14	$15	$4	29%	—	$11 – $53
15	Optum fee schedule · outpatient · +2 other terms	25	$16	$18	$8	42%	—	$15 – $39
16	Oscar fee schedule · outpatient · +4 other terms	24	$15	$16	$1	3%	—	$15 – $16
17	Caresource facility · case rate · outpatient · +6 other terms	20	$11	$15	$7	50%	—	$7 – $31
18	Medicare fee schedule · outpatient · +2 other terms	18	$15	$15	$0	1%	—	$15 – $15
19	Amerihealth Caritas fee schedule · outpatient · +3 other terms	16	$19	$19	$0	2%	—	$18 – $19
20	Medcost facility · percent of total billed charges · bothfrom % of charges · +2 other terms	15	$2	$10	$24	246%	—	$1 – $97
21	Wellmark fee schedule · both · +4 other terms	13	$14	$14	$0	3%	—	$11 – $14
22	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$7	$11	$4	37%	—	$7 – $15
23	Ambetter case rate · outpatient · +7 other terms	12	$22	$23	$1	4%	—	$22 – $24
24	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$13	$9	$7	82%	—	$0 – $17
25	Bcbs Nj fee schedule · outpatient	12	$15	$33	$22	68%	—	$15 – $68

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