Matriderm skin substitute, 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

MATRIDERM PER SQ CM

Payers reporting HCPCS A2027

Payer pricing summary

Low

$23

Average

$2.3k

Median

$376

High

$14.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	256	$210	$1.3k	$4.2k	326%	—	$1 – $30.7k
2	Aetna fee schedule · outpatient · +19 other terms	89	$127	$2.3k	$4.9k	218%	—	$1 – $17.1k
3	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	84	$201	$209	$76	36%	—	$1 – $396
4	Humana fee schedule · outpatient · +14 other terms	68	$125	$119	$31	26%	—	$1 – $171
5	Cigna fee schedule · outpatient · +15 other terms	61	$134	$2.7k	$7.8k	285%	—	$119 – $39.2k
6	WellCare fee schedule · outpatient · +9 other terms	40	$136	$138	$13	10%	—	$119 – $171
7	Molina facility · fee schedule · outpatient · +10 other terms	36	$118	$125	$37	30%	—	$65 – $319
8	Anthem facility · fee schedule · outpatient · +10 other terms	34	$118	$134	$63	47%	—	$48 – $349
9	Bcbs Tx fee schedule · outpatient	30	$179	$184	$58	31%	—	$136 – $673
10	Devoted facility · fee schedule · outpatient · +5 other terms	25	$118	$121	$7	6%	—	$118 – $143
11	Kaiser fee schedule · outpatient · +9 other terms	24	$125	$1.8k	$3.7k	211%	—	$125 – $18.3k
12	Optum fee schedule · outpatient · +5 other terms	23	$125	$984	$2.8k	284%	—	$113 – $13.7k
13	Ambetter facility · fee schedule · outpatient · +5 other terms	22	$212	$361	$951	263%	—	$141 – $7.5k
14	Medicare fee schedule · outpatient · +3 other terms	18	$125	$125	—	—	—	$125 – $125
15	Caresource facility · fee schedule · outpatient · +7 other terms	16	$212	$207	$26	13%	—	$121 – $238
16	Tricare fee schedule · outpatient · +1 other terms	15	$121	$119	$6	5%	—	$113 – $127
17	Medical Mutual facility · fee schedule · outpatient · +3 other terms	12	$118	$119	$3	3%	—	$118 – $127
18	Oscar facility · fee schedule · outpatient · +5 other terms	10	$175	$177	$3	2%	—	$175 – $182
19	Regence fee schedule · outpatient · +4 other terms	10	$146	$146	$4	3%	—	$140 – $156
20	Medcost percent of total billed charges · bothfrom % of charges · +1 other terms	9	$134	$133	$96	72%	—	$45 – $348
21	First Health fee schedule · inpatient · +6 other terms	7	$25.6k	$24.1k	$16.7k	69%	—	$4.2k – $54.5k
22	MultiPlan fee schedule · inpatient · +9 other terms	7	$28.9k	$32.5k	$25.3k	78%	—	$4.7k – $84.7k
23	Superior Healthplan percent of total billed charges · outpatientfrom % of charges · +1 other terms	7	$71	$91	$75	83%	—	$12 – $261
24	Excellus fee schedule · outpatient · +2 other terms	6	$236	$230	$60	26%	—	$127 – $351
25	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +1 other terms	6	$298	$385	$314	82%	—	$56 – $1.3k

Page 1 of 2 · 46 payers