Arthroscopy form dressing system, 33 x 30 cm

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

PREVENA PEEL & PLACE PRE1101US 13CM KIT

Payers reporting HCPCS A6550

Payer pricing summary

Low

$17

Average

$303

Median

$225

High

$1.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	366	$32	$113	$267	237%	—	$1 – $3.0k
2	Humana fee schedule · outpatient · +21 other terms	341	$31	$97	$323	331%	—	$1 – $4.1k
3	Aetna fee schedule · outpatient · +22 other terms	296	$32	$46	$83	181%	—	$1 – $1.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	226	$33	$77	$190	249%	—	$0 – $2.4k
5	WellCare fee schedule · outpatient · +11 other terms	201	$32	$33	$5	16%	—	$31 – $62
6	Devoted fee schedule · outpatient · +7 other terms	176	$31	$32	$1	4%	—	$30 – $38
7	Cigna Healthspring fee schedule · outpatient · +3 other terms	123	$32	$32	$1	4%	—	$31 – $36
8	Molina fee schedule · outpatient · +14 other terms	102	$40	$39	$18	45%	—	$1 – $88
9	Cigna fee schedule · outpatient · +19 other terms	96	$32	$196	$692	354%	—	$8 – $4.5k
10	Anthem fee schedule · outpatient · +19 other terms	87	$31	$18	$10	58%	—	$2 – $157
11	Superior Healthplan fee schedule · outpatient · +1 other terms	41	$33	$33	$0	1%	—	$31 – $35
12	Clover fee schedule · outpatient · +4 other terms	39	$32	$32	$1	4%	—	$31 – $35
13	Kaiser fee schedule · outpatient · +12 other terms	39	$30	$31	$1	3%	—	$30 – $33
14	MultiPlan fee schedule · outpatient · +15 other terms	34	$330	$382	$667	175%	—	$31 – $4.8k
15	Optum fee schedule · outpatient · +10 other terms	34	$31	$538	$1.2k	218%	—	$29 – $5.3k
16	Caresource fee schedule · outpatient · +10 other terms	32	$31	$84	$51	61%	—	$1 – $122
17	Bcbs Tx fee schedule · outpatient · +4 other terms	31	$31	$32	$9	29%	—	$23 – $115
18	Medica fee schedule · outpatient · +13 other terms	30	$120	$194	$334	172%	—	$22 – $2.3k
19	Medcost percent of total billed charges · bothfrom % of charges · +6 other terms	24	$498	$471	$214	45%	—	$47 – $1.4k
20	Oscar fee schedule · outpatient · +8 other terms	24	$31	$32	$1	3%	—	$31 – $33
21	Medicare fee schedule · outpatient · +4 other terms	18	$30	$30	$1	3%	—	$30 – $33
22	Amerihealth Caritas fee schedule · outpatient · +8 other terms	17	$38	$38	$1	3%	—	$36 – $40
23	Beechstreet percent of total billed charges · inpatientfrom % of charges · +3 other terms	16	$382	$385	$20	5%	—	$354 – $425
24	Tricare fee schedule · outpatient · +10 other terms	16	$34	$567	$798	141%	—	$31 – $2.2k
25	Phcs fee schedule · inpatient · +8 other terms	15	$276	$303	$423	140%	—	$45 – $2.4k

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