InnovaMatrix PD wound covering material

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

Innovamatrix pd, 1 mg

Payers reporting HCPCS A2023

Payer pricing summary

Low

Average

$170

Median

$32

High

$1.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +6 other terms	357	$28	$29	$13	44%	—	$14 – $93
2	Cigna fee schedule · outpatient · +6 other terms	174	$31	$51	$37	72%	—	$15 – $142
3	Aetna fee schedule · outpatient · +6 other terms	56	$16	$29	$26	89%	—	$14 – $156
4	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	56	$272	$289	$112	39%	—	$1 – $530
5	Bcbs Tx fee schedule · outpatient	30	$239	$247	$77	31%	—	$182 – $901
6	Caresource fee schedule · outpatient · +1 other terms	14	$51	$50	$1	2%	—	$48 – $51
7	Bcbs Nj fee schedule · outpatient	12	$16	$16	—	—	—	$16 – $16
8	Highmark fee schedule · outpatient · +3 other terms	12	$18	$72	$359	501%	—	$17 – $3.4k
9	Anthem facility · fee schedule · outpatient · +4 other terms	11	$48	$48	$1	1%	—	$48 – $49
10	Medica fee schedule · both · +3 other terms	9	$17	$16	$0	1%	—	$16 – $17
11	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$15	$15	—	—	—	$15 – $15
12	Humana fee schedule · outpatient · +3 other terms	7	$14	$31	$17	55%	—	$14 – $56
13	Bcbs Mn fee schedule · outpatient	5	$1	$1	$0	66%	—	$0 – $1
14	First Health professional · fee schedule · both	3	$18	$18	—	—	—	$18 – $18
15	Molina fee schedule · outpatient	2	$1.1k	$1.6k	$1.2k	73%	—	$51 – $3.4k
16	Kaiser fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35