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.
Original text from hospital filings
PROTECTOR TENDON W2XL2IN SHEET BOVINE COLLAGEN GLYCOSAMINOGLYCAN POROUS TENDON ABSORBABLE IMPLANT NONCONSTRICTING ENCASEMENT
Low
$1
Average
$3.6k
Median
$3.2k
High
$11.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
49 payers; the 90th percentile is 12.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Amerihealth Caritas facility · fee schedule · both · +4 other terms | 1 | $15 | $15 | — | — | 1–10 | $15 – $15 |
| 2 | Cigna fee schedule · outpatient · +16 other terms | 218 | $215 | $1.4k | $4.1k | 290% | — | $52 – $25.5k |
| 3 | Aetna fee schedule · outpatient · +17 other terms | 74 | $273 | $5.0k | $5.2k | 103% | — | $1 – $21.7k |
| 4 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 46 | $7.1k | $8.3k | $5.0k | 60% | — | $1 – $22.9k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 39 | $157 | $1.1k | $2.2k | 200% | — | $0 – $11.5k |
| 6 | MultiPlan fee schedule · inpatient · +10 other terms | 36 | $16.1k | $15.9k | $6.3k | 39% | — | $4.7k – $29.5k |
| 7 | Medical Mutual facility · percent of total billed charges · bothfrom % of charges · +3 other terms | 34 | $3.0k | $2.8k | $2.0k | 72% | — | $3 – $11.2k |
| 8 | Wellmark facility · percent of total billed charges · bothfrom % of charges | 27 | $2.0k | $2.8k | $3.1k | 112% | — | $1 – $19.5k |
| 9 | First Health fee schedule · outpatient · +13 other terms | 25 | $13.5k | $14.2k | $5.1k | 36% | — | $4.2k – $23.7k |
| 10 | Medcost facility · percent of total billed charges · bothfrom % of charges · +5 other terms | 18 | $2.9k | $2.7k | $2.0k | 75% | — | $3 – $10.8k |
| 11 | Oscar facility · percent of total billed charges · bothfrom % of charges · +5 other terms | 18 | $1.9k | $2.1k | $1.6k | 73% | — | $161 – $7.8k |
| 12 | Anthem fee schedule · outpatient · +14 other terms | 17 | $969 | $1.4k | $2.7k | 193% | — | $88 – $16.5k |
| 13 | Kaiser fee schedule · outpatient · +10 other terms | 17 | $8.6k | $9.2k | $4.0k | 44% | — | $228 – $18.1k |
| 14 | Humana fee schedule · outpatient · +13 other terms | 16 | $5.8k | $12.5k | $7.1k | 57% | — | $1 – $23.7k |
| 15 | Caresource facility · case rate · outpatient · +12 other terms | 15 | $1.0k | $1.1k | $250 | 23% | — | $679 – $1.7k |
| 16 | Molina facility · case rate · outpatient · +11 other terms | 15 | $998 | $1.1k | $254 | 23% | — | $699 – $1.7k |
| 17 | Bcbs Nj fee schedule · outpatient · +1 other terms | 12 | $106 | $106 | — | — | — | $106 – $106 |
| 18 | Clover facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 12 | $794 | $729 | $753 | 103% | — | $0 – $1.5k |
| 19 | Healthcare Highways facility · percent of total billed charges · bothfrom % of charges · +2 other terms | 12 | $2.7k | $4.7k | $3.0k | 64% | — | $2.2k – $17.1k |
| 20 | Highmark fee schedule · outpatient · +7 other terms | 12 | $123 | $174 | $344 | 198% | — | $112 – $3.4k |
| 21 | Optum facility · case rate · outpatient · +4 other terms | 11 | $940 | $1.0k | $231 | 22% | — | $848 – $1.5k |
| 22 | Aetna Better Health fee schedule · outpatient · +3 other terms | 8 | $105 | $102 | $10 | 10% | — | $75 – $105 |
| 23 | Cigna Healthspring percent of total billed charges · outpatientfrom % of charges · +1 other terms | 7 | $6.7k | $7.3k | $2.5k | 35% | — | $3.6k – $12.4k |
| 24 | Phcs fee schedule · inpatient · +9 other terms | 7 | $21.1k | $21.1k | $4.3k | 20% | — | $16.8k – $25.5k |
| 25 | Bcbs La fee schedule · outpatient · +1 other terms | 6 | $79 | $79 | — | — | — | $79 – $79 |
← Hospitals reporting HCPCS C9356 · Snapshot 20261111T120946Z-9134e7f7