Becaplermin gel for wounds

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

Becaplermin gel 0.01%, 0.5 gm

Payers reporting HCPCS S0157

Payer pricing summary

Low

$26

Average

$706

Median

$142

High

$5.3k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +7 other terms	182	$87	$141	$101	72%	—	$27 – $395
2	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	161	$91	$111	$61	55%	—	$31 – $295
3	Aetna fee schedule · outpatient · +9 other terms	101	$90	$114	$241	212%	—	$37 – $3.3k
4	Humana fee schedule · outpatient · +6 other terms	71	$44	$72	$43	60%	—	$14 – $128
5	Kaiser fee schedule · both · +2 other terms	43	$21	$20	$5	26%	—	$14 – $28
6	Anthem fee schedule · outpatient · +7 other terms	35	$50	$78	$36	46%	—	$26 – $214
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$162	$147	$49	33%	—	$60 – $254
8	UnitedHealthcare fee schedule · both · +11 other terms	26	$45	$52	$9	18%	—	$43 – $82
9	Caresource facility · case rate · outpatient · +1 other terms	15	$48	$52	$12	23%	—	$32 – $82
10	Molina facility · case rate · outpatient · +4 other terms	15	$47	$52	$12	23%	—	$33 – $80
11	Wellmark fee schedule · both · +6 other terms	13	$45	$45	—	—	—	$45 – $45
12	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$33	$35	$10	28%	—	$17 – $46
13	Bcbs Nj fee schedule · outpatient	12	$45	$45	—	—	—	$45 – $45
14	Highmark fee schedule · outpatient · +3 other terms	11	$51	$51	$4	9%	—	$43 – $98
15	Optum facility · case rate · outpatient · +2 other terms	11	$45	$49	$11	22%	—	$40 – $73
16	Medica fee schedule · outpatient · +5 other terms	10	$92	$93	$23	25%	—	$56 – $119
17	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$45	$45	—	—	—	$45 – $45
18	Bcbs La fee schedule · outpatient · +1 other terms	6	$44	$45	$1	3%	—	$44 – $49
19	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	6	$4.3k	$4.2k	$441	11%	—	$3.6k – $4.6k
20	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	6	$898	$855	$81	9%	—	$743 – $924
21	Excellus facility · fee schedule · outpatient	5	$73	$83	$52	63%	—	$45 – $216
22	First Health facility · fee schedule · outpatient · +1 other terms	4	$130	$130	—	—	—	$130 – $130
23	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$52	$52	—	—	—	$52 – $52
24	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$46	$46	—	—	—	$46 – $46
25	Amerihealth Caritas professional · fee schedule · outpatient	2	$26	$26	$0	1%	—	$26 – $26

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