Suprathel synthetic skin 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

Suprathel per sq cm

Payers reporting HCPCS A2012

Payer pricing summary

Low

Average

$199

Median

$140

High

$1.1k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +19 other terms	254	$210	$231	$261	113%	—	$1 – $3.6k
2	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	99	$1	$46	$209	453%	—	$0 – $3.6k
3	Aetna fee schedule · outpatient · +19 other terms	92	$126	$173	$186	108%	—	$1 – $1.1k
4	Humana fee schedule · outpatient · +17 other terms	69	$125	$114	$39	34%	—	$1 – $171
5	Cigna fee schedule · outpatient · +16 other terms	57	$128	$176	$118	67%	—	$119 – $644
6	WellCare fee schedule · outpatient · +12 other terms	40	$135	$137	$13	10%	—	$119 – $171
7	Anthem facility · fee schedule · outpatient · +13 other terms	34	$118	$231	$226	98%	—	$48 – $1.2k
8	Molina facility · fee schedule · outpatient · +14 other terms	34	$118	$129	$50	39%	—	$65 – $319
9	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$1	$1	$0	31%	—	$0 – $2
10	Devoted fee schedule · outpatient · +8 other terms	23	$125	$122	$5	4%	—	$116 – $139
11	Kaiser fee schedule · outpatient · +10 other terms	23	$125	$311	$243	78%	—	$125 – $1000
12	Optum fee schedule · outpatient · +8 other terms	22	$125	$151	$98	65%	—	$113 – $459
13	Ambetter fee schedule · outpatient · +6 other terms	21	$283	$331	$235	71%	—	$218 – $1.4k
14	Caresource facility · case rate · outpatient · +7 other terms	19	$968	$862	$456	53%	—	$49 – $1.7k
15	Medicare fee schedule · outpatient · +2 other terms	18	$125	$125	—	—	—	$125 – $125
16	Medcost percent of total billed charges · bothfrom % of charges · +1 other terms	16	$0	$0	$0	38%	—	$0 – $1
17	Medical Mutual facility · fee schedule · outpatient · +2 other terms	12	$118	$123	$13	11%	—	$118 – $167
18	Tricare fee schedule · outpatient · +3 other terms	11	$113	$116	$5	4%	—	$113 – $127
19	Oscar facility · fee schedule · outpatient · +5 other terms	10	$175	$177	$3	2%	—	$175 – $182
20	Regence fee schedule · outpatient · +6 other terms	10	$146	$146	$4	3%	—	$140 – $156
21	Magellan facility · percent of total billed charges · bothfrom % of charges · +1 other terms	9	$10	$13	$6	52%	—	$6 – $28
22	Amerihealth Caritas percent of total billed charges · outpatientfrom % of charges · +2 other terms	7	$584	$586	$394	67%	—	$58 – $1.4k
23	Excellus fee schedule · outpatient · +5 other terms	6	$253	$500	$792	158%	—	$7 – $3.6k
24	Aetna Better Health facility · fee schedule · outpatient · +3 other terms	5	$68	$68	$1	1%	—	$68 – $70
25	Bcbs Mn fee schedule · outpatient	5	$1	$1	$0	66%	—	$0 – $1

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