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.
Original text from hospital filings
Wound filler dry form / gram
Low
$0
Average
$44
Median
$33
High
$199
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
36 payers; the 90th percentile is 97.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +9 other terms | 76 | $3 | $5 | $5 | 113% | — | $0 – $26 |
| 2 | Aetna fee schedule · outpatient · +13 other terms | 34 | $1 | $11 | $18 | 159% | — | $0 – $72 |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms | 33 | $6 | $7 | $8 | 111% | — | $0 – $56 |
| 4 | UnitedHealthcare fee schedule · both · +13 other terms | 28 | $0 | $6 | $15 | 258% | — | $0 – $63 |
| 5 | Cigna fee schedule · both · +10 other terms | 16 | $2 | $7 | $24 | 324% | — | $1 – $104 |
| 6 | Anthem facility · case rate · outpatient · +8 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 7 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 8 | Molina facility · case rate · outpatient · +6 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 9 | Wellmark fee schedule · both · +3 other terms | 13 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Bcbs Mn fee schedule · outpatient · +6 other terms | 12 | $3 | $2 | $1 | 64% | — | $0 – $4 |
| 11 | Optum facility · case rate · outpatient · +1 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 12 | Medica fee schedule · outpatient · +7 other terms | 10 | $1 | $1 | $0 | 26% | — | $1 – $2 |
| 13 | Ucare fee schedule · both · +1 other terms | 9 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 14 | Aetna Better Health fee schedule · inpatient · +3 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | MultiPlan fee schedule · inpatient · +9 other terms | 5 | $36 | $37 | $1 | 3% | — | $36 – $38 |
| 16 | Ambetter fee schedule · outpatient | 4 | $18 | $34 | $29 | 86% | — | $8 – $88 |
| 17 | Healthpartners facility · other · outpatient · +6 other terms | 4 | $85 | $85 | — | — | — | $85 – $85 |
| 18 | Amerihealth Caritas professional · fee schedule · outpatient | 3 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 19 | First Health fee schedule · outpatient · +7 other terms | 3 | $25 | $40 | $22 | 55% | — | $25 – $79 |
| 20 | Highmark professional · fee schedule · both · +1 other terms | 3 | $2 | $2 | — | — | — | $2 – $2 |
| 21 | Bcbs Id facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 11% | — | $1 – $1 |
| 22 | Kaiser fee schedule · both · +3 other terms | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 23 | Oscar facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $50 | $50 | — | — | — | $50 – $50 |
| 24 | Phcs fee schedule · inpatient · +4 other terms | 2 | $36 | $36 | — | — | — | $36 – $36 |
| 25 | Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $68 | $68 | — | — | — | $68 – $68 |
← Hospitals reporting HCPCS A6262 · Snapshot 20261112T124536Z-e251e855