Permeaderm skin substitute graft, 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

Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure)

Payers reporting HCPCS A2018

Payer pricing summary

Low

Average

$278

Median

$165

High

$2.8k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +12 other terms	255	$210	$232	$263	113%	—	$1 – $2.5k
2	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	92	$21	$39	$42	107%	—	$1 – $170
3	Aetna fee schedule · outpatient · +12 other terms	91	$125	$312	$705	226%	—	$1 – $3.9k
4	Humana fee schedule · outpatient · +12 other terms	69	$125	$121	$29	24%	—	$1 – $171
5	Cigna fee schedule · outpatient · +7 other terms	58	$131	$202	$275	136%	—	$119 – $2.2k
6	WellCare fee schedule · outpatient · +7 other terms	41	$136	$138	$14	10%	—	$119 – $171
7	Anthem facility · fee schedule · outpatient · +9 other terms	35	$118	$130	$92	71%	—	$31 – $349
8	Molina facility · fee schedule · outpatient · +8 other terms	34	$118	$129	$50	39%	—	$65 – $319
9	Bcbs Tx fee schedule · outpatient	30	$15	$15	$5	31%	—	$11 – $56
10	Devoted fee schedule · outpatient · +3 other terms	23	$125	$122	$5	4%	—	$116 – $139
11	Kaiser fee schedule · outpatient · +5 other terms	23	$125	$385	$445	116%	—	$125 – $2.2k
12	Optum fee schedule · outpatient · +2 other terms	22	$125	$151	$98	65%	—	$113 – $459
13	Ambetter fee schedule · outpatient · +2 other terms	20	$272	$267	$41	15%	—	$218 – $351
14	Caresource facility · case rate · outpatient · +5 other terms	19	$968	$862	$456	53%	—	$49 – $1.7k
15	Medicare fee schedule · outpatient · +2 other terms	18	$125	$125	—	—	—	$125 – $125
16	Medical Mutual facility · fee schedule · outpatient · +1 other terms	12	$118	$123	$13	11%	—	$118 – $167
17	Oscar facility · fee schedule · outpatient · +1 other terms	10	$175	$177	$3	2%	—	$175 – $182
18	Regence fee schedule · outpatient · +4 other terms	10	$146	$146	$4	3%	—	$140 – $156
19	Tricare fee schedule · outpatient · +1 other terms	10	$113	$115	$4	3%	—	$113 – $121
20	Excellus fee schedule · outpatient · +2 other terms	6	$212	$179	$109	61%	—	$0 – $351
21	Highmark fee schedule · outpatient · +3 other terms	6	$176	$708	$979	138%	—	$127 – $3.4k
22	Aetna Better Health facility · fee schedule · outpatient · +2 other terms	5	$68	$68	$1	1%	—	$68 – $70
23	Bcbs Mn fee schedule · outpatient	5	$1	$1	$0	66%	—	$0 – $1
24	Clover fee schedule · outpatient	5	$120	$125	$9	7%	—	$120 – $140
25	First Health professional · fee schedule · both · +1 other terms	3	$77	$77	—	—	—	$77 – $77

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