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
Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm;
Low
$1.2k
Average
$2.1k
Median
$1.4k
High
$4.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
9 payers; the 90th percentile is 3.1× 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 | UnitedHealthcare case rate · outpatient · +3 other terms | 31 | $1.9k | $4.1k | $3.5k | 86% | — | $1.1k – $11.6k |
| 2 | Molina facility · case rate · outpatient · +1 other terms | 16 | $1.3k | $1.4k | $294 | 20% | — | $1.2k – $2.3k |
| 3 | Anthem facility · case rate · outpatient · +2 other terms | 14 | $1.4k | $1.5k | $319 | 21% | — | $1.3k – $2.3k |
| 4 | Caresource facility · case rate · outpatient | 14 | $1.4k | $1.5k | $310 | 21% | — | $1.2k – $2.3k |
| 5 | Optum facility · case rate · outpatient | 13 | $1.2k | $1.3k | $292 | 22% | — | $1.1k – $2.0k |
| 6 | Aetna case rate · outpatient · +3 other terms | 4 | $4.2k | $5.0k | $2.3k | 45% | — | $1.9k – $8.8k |
| 7 | Humana fee schedule · outpatient | 4 | $2.7k | $2.8k | $7 | 0% | — | $2.7k – $2.8k |
| 8 | Medicaid facility · case rate · outpatient | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | WellCare facility · case rate · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
← Hospitals reporting HCPCS G0681 · Snapshot 20261113T090226Z-3ce6c0b8