Marigen wound dressing, 1 square 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

HB Kerecis Omega3 3 X 3.5 Cm

Payers reporting HCPCS Q4158

Payer pricing summary

Low

Average

$1.5k

Median

$687

High

$11.8k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +25 other terms	505	$205	$378	$1.9k	513%	—	$0 – $47.1k
2	Cigna fee schedule · outpatient · +21 other terms	337	$134	$349	$1.5k	443%	—	$0 – $28.7k
3	Aetna fee schedule · outpatient · +26 other terms	282	$132	$1.4k	$5.3k	381%	—	$0 – $50.6k
4	Humana fee schedule · outpatient · +23 other terms	212	$116	$159	$499	313%	—	$1 – $11.1k
5	Blue Cross Blue Shield facility · fee schedule · outpatient · +24 other terms	183	$131	$150	$94	62%	—	$1 – $775
6	Molina fee schedule · outpatient · +22 other terms	108	$184	$555	$2.0k	363%	—	$0 – $19.9k
7	Anthem facility · fee schedule · outpatient · +21 other terms	69	$127	$181	$126	70%	—	$0 – $1.2k
8	Caresource fee schedule · outpatient · +13 other terms	66	$91	$89	$112	126%	—	$1 – $524
9	WellCare fee schedule · outpatient · +14 other terms	65	$127	$122	$41	33%	—	$5 – $171
10	Kaiser fee schedule · outpatient · +16 other terms	59	$207	$1.0k	$3.0k	292%	—	$0 – $34.5k
11	Ambetter facility · fee schedule · outpatient · +13 other terms	52	$216	$227	$27	12%	—	$75 – $331
12	MultiPlan fee schedule · outpatient · +18 other terms	46	$648	$4.9k	$9.8k	199%	—	$0 – $51.7k
13	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	40	$920	$1.2k	$2.9k	248%	—	$0 – $41.4k
14	Optum fee schedule · outpatient · +16 other terms	38	$125	$591	$1.6k	278%	—	$1 – $10.5k
15	Devoted facility · fee schedule · outpatient · +13 other terms	36	$118	$121	$6	5%	—	$114 – $143
16	Oscar facility · fee schedule · outpatient · +11 other terms	29	$129	$151	$47	31%	—	$71 – $234
17	Medica fee schedule · outpatient · +14 other terms	27	$409	$430	$659	153%	—	$51 – $10.0k
18	Tricare facility · fee schedule · outpatient · +11 other terms	27	$127	$240	$640	266%	—	$109 – $4.8k
19	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	25	$158	$158	$31	20%	—	$119 – $207
20	Highmark facility · fee schedule · outpatient · +12 other terms	25	$90	$115	$98	85%	—	$34 – $854
21	Medicare fee schedule · outpatient · +12 other terms	22	$125	$1.8k	$12.0k	677%	—	$1 – $86.7k
22	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	21	$769	$1.7k	$5.5k	315%	—	$92 – $59.5k
23	Superior Healthplan facility · fee schedule · outpatient · +3 other terms	21	$131	$129	$3	2%	—	$125 – $131
24	Healthpartners fee schedule · outpatient · +7 other terms	20	$90	$91	$6	6%	—	$88 – $131
25	Medical Mutual facility · fee schedule · outpatient · +10 other terms	20	$127	$168	$56	33%	—	$64 – $468

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