APC 6001

FDA 510(k) cleared skin substitute product

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

510K Skin Substitute Products

Payers reporting APC 6001

Payer pricing summary

Low

$110

Average

$258

Median

$148

High

$1.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +5 other terms	153	$128	$127	$5	4%	—	$111 – $161
2	Humana fee schedule · outpatient · +4 other terms	148	$125	$132	$39	29%	—	$109 – $520
3	Aetna fee schedule · outpatient · +4 other terms	135	$127	$127	$6	5%	—	$110 – $158
4	WellCare fee schedule · outpatient · +2 other terms	127	$129	$129	$6	5%	—	$111 – $158
5	Devoted fee schedule · outpatient · +2 other terms	122	$125	$125	$4	3%	—	$109 – $131
6	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$131	$129	$5	4%	—	$125 – $139
7	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	105	$125	$129	$7	6%	—	$109 – $163
8	Molina fee schedule · outpatient · +2 other terms	55	$184	$184	$71	39%	—	$118 – $328
9	Superior Healthplan fee schedule · outpatient	40	$131	$131	$0	0%	—	$131 – $131
10	Ambetter facility · fee schedule · outpatient · +1 other terms	28	$203	$539	$1.5k	283%	—	$129 – $14.0k
11	Anthem fee schedule · outpatient · +2 other terms	24	$131	$130	$8	6%	—	$118 – $160
12	Oscar fee schedule · outpatient · +4 other terms	24	$123	$128	$7	5%	—	$123 – $136
13	Optum facility · per diem · outpatient · +3 other terms	22	$130	$129	$6	5%	—	$112 – $141
14	Medicare facility · fee schedule · outpatient	18	$152	$299	$976	327%	—	$62 – $12.2k
15	Amerihealth Caritas fee schedule · outpatient	17	$156	$152	$8	5%	—	$136 – $156
16	Clover fee schedule · outpatient · +2 other terms	15	$131	$126	$6	5%	—	$115 – $131
17	Kaiser fee schedule · outpatient	13	$134	$134	$1	1%	—	$131 – $134
18	Highmark facility · fee schedule · outpatient · +2 other terms	12	$233	$467	$1.3k	286%	—	$125 – $9.2k
19	Tricare facility · fee schedule · outpatient	10	$128	$130	$7	5%	—	$122 – $140
20	Cigna fee schedule · outpatient · +2 other terms	9	$125	$125	$3	2%	—	$120 – $127
21	Excellus case rate · outpatient	5	$289	$322	$101	31%	—	$219 – $517
22	Medica facility · fee schedule · outpatient	5	$133	$134	$1	1%	—	$132 – $135
23	Caresource facility · fee schedule · outpatient	3	$139	$148	$32	22%	—	$122 – $214
24	Magellan facility · fee schedule · outpatient · +1 other terms	3	$137	$141	$5	3%	—	$137 – $147
25	Bcbs Al facility · fee schedule · outpatient	1	$110	$110	—	—	—	$110 – $110

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