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
G com bandage padded foam
Low
$1
Average
$2
Median
$2
High
$6
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 1.9× 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.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +6 other terms | 338 | $2 | $2 | $1 | 48% | — | $1 – $10 |
| 2 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 330 | $2 | $2 | $0 | 22% | — | $1 – $5 |
| 3 | Humana fee schedule · outpatient · +8 other terms | 306 | $2 | $2 | $1 | 35% | — | $1 – $6 |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 210 | $2 | $2 | $0 | 16% | — | $2 – $3 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 191 | $2 | $2 | $1 | 38% | — | $0 – $7 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $2 | $2 | $0 | 2% | — | $2 – $2 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 133 | $2 | $2 | $1 | 37% | — | $1 – $4 |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 113 | $2 | $2 | $0 | 3% | — | $2 – $2 |
| 9 | Cigna fee schedule · outpatient · +5 other terms | 95 | $2 | $2 | $1 | 30% | — | $2 – $5 |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $2 | $2 | $2 | 99% | — | $2 – $12 |
| 11 | Kaiser fee schedule · outpatient · +3 other terms | 56 | $2 | $3 | $2 | 74% | — | $2 – $12 |
| 12 | Ambetter facility · fee schedule · outpatient · +5 other terms | 40 | $3 | $3 | $1 | 24% | — | $2 – $4 |
| 13 | Superior Healthplan fee schedule · outpatient | 40 | $2 | $2 | $0 | 1% | — | $2 – $2 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 36 | $2 | $2 | $0 | 3% | — | $2 – $2 |
| 15 | Oscar fee schedule · outpatient · +3 other terms | 35 | $2 | $2 | $0 | 21% | — | $2 – $3 |
| 16 | Optum fee schedule · outpatient · +2 other terms | 33 | $2 | $2 | $1 | 40% | — | $2 – $4 |
| 17 | Bcbs Tx fee schedule · outpatient | 31 | $2 | $2 | $1 | 30% | — | $1 – $6 |
| 18 | Caresource fee schedule · outpatient · +4 other terms | 31 | $2 | $2 | $0 | 21% | — | $2 – $2 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 18 | $2 | $2 | $0 | 5% | — | $2 – $2 |
| 20 | Medicare fee schedule · outpatient · +1 other terms | 18 | $2 | $2 | — | — | — | $2 – $2 |
| 21 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $2 | $2 | $0 | 6% | — | $1 – $2 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $2 | $2 | $0 | 25% | — | $1 – $2 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $2 | $2 | $0 | 5% | — | $1 – $2 |
| 24 | Wellmark fee schedule · both · +1 other terms | 13 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 25 | Aetna Better Health fee schedule · outpatient · +2 other terms | 12 | $1 | $1 | $0 | 35% | — | $1 – $2 |
← Hospitals reporting HCPCS A6605 · Snapshot 20261112T124536Z-e251e855