Supra skin substitute dressing, 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

Supra sdrm, per sq cm

Payers reporting HCPCS A2011

Payer pricing summary

Low

Average

$543

Median

$194

High

$3.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +14 other terms	256	$210	$208	$79	38%	—	$1 – $483
2	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	98	$275	$265	$115	43%	—	$0 – $540
3	Aetna fee schedule · outpatient · +14 other terms	96	$127	$179	$140	78%	—	$69 – $965
4	Humana fee schedule · outpatient · +11 other terms	72	$125	$139	$68	49%	—	$1 – $419
5	Cigna fee schedule · outpatient · +10 other terms	60	$134	$172	$108	63%	—	$52 – $644
6	WellCare fee schedule · outpatient · +8 other terms	42	$135	$132	$26	20%	—	$21 – $171
7	Anthem facility · fee schedule · outpatient · +5 other terms	34	$118	$196	$185	94%	—	$48 – $1.2k
8	Molina facility · fee schedule · outpatient · +9 other terms	34	$118	$129	$50	39%	—	$65 – $319
9	Bcbs Tx fee schedule · outpatient	30	$244	$252	$79	31%	—	$186 – $919
10	Devoted fee schedule · outpatient · +5 other terms	23	$125	$122	$5	4%	—	$116 – $139
11	Kaiser fee schedule · outpatient · +3 other terms	22	$125	$307	$247	80%	—	$125 – $1000
12	Optum fee schedule · outpatient · +5 other terms	22	$125	$151	$98	65%	—	$113 – $459
13	Ambetter fee schedule · outpatient · +6 other terms	20	$272	$267	$41	15%	—	$218 – $351
14	Caresource facility · case rate · outpatient · +3 other terms	19	$968	$862	$456	53%	—	$49 – $1.7k
15	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
16	Medcost percent of total billed charges · bothfrom % of charges · +4 other terms	16	$2.1k	$2.4k	$3.8k	160%	—	$2 – $27.1k
17	Medical Mutual facility · fee schedule · outpatient · +1 other terms	13	$118	$123	$13	10%	—	$118 – $167
18	Oscar facility · fee schedule · outpatient · +3 other terms	11	$175	$177	$3	2%	—	$175 – $182
19	Tricare fee schedule · outpatient · +1 other terms	11	$113	$116	$5	4%	—	$113 – $127
20	Regence fee schedule · outpatient · +4 other terms	10	$146	$146	$4	3%	—	$140 – $156
21	Excellus fee schedule · outpatient · +2 other terms	6	$236	$230	$60	26%	—	$127 – $351
22	Highmark fee schedule · outpatient · +3 other terms	6	$176	$708	$979	138%	—	$127 – $3.4k
23	Aetna Better Health facility · fee schedule · outpatient	5	$68	$68	$1	1%	—	$68 – $70
24	Bcbs Mn fee schedule · outpatient	5	$1	$1	$0	66%	—	$0 – $1
25	Clover fee schedule · outpatient	5	$120	$125	$9	7%	—	$120 – $140

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