Synpath dermal matrix, per square centimeter

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

MATRIX WOUND W 10CM 10CM POLYURETHANE NOVOSORB MTX SINGLE

Payers reporting HCPCS A2006

Payer pricing summary

Low

$11

Average

$3.5k

Median

$2.4k

High

$18.7k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +19 other terms	270	$210	$1.7k	$3.8k	230%	—	$1 – $23.7k
2	Aetna facility · fee schedule · outpatient · +18 other terms	100	$125	$222	$649	293%	—	$118 – $6.1k
3	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	99	$121	$666	$3.1k	468%	—	$0 – $33.0k
4	Cigna fee schedule · outpatient · +14 other terms	71	$134	$3.9k	$6.9k	176%	—	$40 – $38.0k
5	Humana fee schedule · outpatient · +13 other terms	70	$125	$126	$14	11%	—	$48 – $171
6	WellCare fee schedule · outpatient · +10 other terms	40	$135	$141	$12	8%	—	$119 – $171
7	Medcost percent of total billed charges · bothfrom % of charges · +2 other terms	39	$38	$2.6k	$9.3k	355%	—	$28 – $89.9k
8	Molina facility · fee schedule · outpatient · +16 other terms	39	$118	$127	$40	31%	—	$65 – $319
9	Ambetter facility · fee schedule · outpatient · +9 other terms	36	$215	$357	$818	229%	—	$141 – $7.0k
10	Anthem facility · fee schedule · outpatient · +12 other terms	36	$118	$172	$157	91%	—	$48 – $1.2k
11	Kaiser fee schedule · outpatient · +11 other terms	32	$566	$3.4k	$5.6k	165%	—	$125 – $27.1k
12	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$90	$93	$29	31%	—	$69 – $340
13	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	25	$158	$158	$31	20%	—	$119 – $207
14	Devoted facility · fee schedule · outpatient · +11 other terms	25	$118	$122	$8	7%	—	$118 – $143
15	Phcs percent of total billed charges · bothfrom % of charges · +5 other terms	24	$17.2k	$16.7k	$18.1k	108%	—	$33 – $67.3k
16	Optum fee schedule · outpatient · +7 other terms	22	$125	$151	$98	65%	—	$113 – $459
17	Medicare fee schedule · outpatient · +3 other terms	21	$125	$127	$6	5%	—	$123 – $139
18	Superior Healthplan facility · fee schedule · outpatient · +2 other terms	21	$131	$129	$3	2%	—	$125 – $131
19	Caresource facility · fee schedule · outpatient · +5 other terms	16	$212	$201	$33	17%	—	$121 – $238
20	Beechstreet percent of total billed charges · bothfrom % of charges · +1 other terms	14	$22.9k	$21.9k	$22.5k	103%	—	$33 – $76.3k
21	MultiPlan fee schedule · inpatient · +9 other terms	13	$11.6k	$10.1k	$9.3k	92%	—	$1.6k – $31.0k
22	Medical Mutual facility · fee schedule · outpatient · +3 other terms	12	$118	$119	$3	3%	—	$118 – $127
23	First Health fee schedule · outpatient · +8 other terms	11	$9.6k	$8.9k	$8.0k	90%	—	$1.3k – $27.1k
24	Tricare fee schedule · outpatient · +3 other terms	11	$113	$116	$5	4%	—	$113 – $127
25	Oscar facility · fee schedule · outpatient · +6 other terms	10	$175	$177	$3	2%	—	$175 – $182

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