HCPCS Q4109
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
PR TISSUEMEND SKIN SUB
Low
$93
Average
$226
Median
$217
High
$378
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 8 | $412 | $366 | $85 | 23% | — | $181 – $440 |
| 2 | Anthem facility · fee schedule · outpatient | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 3 | Cigna professional · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 4 | Kaiser fee schedule · outpatient | 1 | $184 | $184 | — | — | — | $184 – $184 |
← Hospitals reporting HCPCS Q4109 · Snapshot 20261113T090226Z-3ce6c0b8