Tensix 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

Tensix, per square centimeter (add-on, list separately in addition to primary procedure)

Payers reporting HCPCS Q4146

Payer pricing summary

Low

Average

$826

Median

$166

High

$16.7k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +11 other terms	251	$210	$210	$77	37%	—	$1 – $483
2	Aetna fee schedule · outpatient · +11 other terms	88	$127	$156	$129	82%	—	$69 – $1.0k
3	Humana fee schedule · outpatient · +8 other terms	70	$125	$125	$20	16%	—	$1 – $171
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms	57	$105	$239	$289	121%	—	$0 – $1.6k
5	Cigna fee schedule · outpatient · +8 other terms	56	$126	$169	$108	64%	—	$119 – $644
6	WellCare fee schedule · outpatient · +5 other terms	42	$136	$138	$14	10%	—	$119 – $171
7	Molina facility · fee schedule · outpatient · +7 other terms	39	$118	$129	$49	38%	—	$65 – $319
8	Anthem facility · fee schedule · outpatient · +7 other terms	35	$118	$195	$183	94%	—	$48 – $1.2k
9	Devoted fee schedule · outpatient · +3 other terms	23	$125	$122	$5	4%	—	$116 – $139
10	Kaiser fee schedule · outpatient · +3 other terms	22	$125	$307	$247	80%	—	$125 – $1000
11	Optum fee schedule · outpatient · +2 other terms	22	$125	$151	$98	65%	—	$113 – $459
12	Ambetter fee schedule · outpatient · +2 other terms	20	$272	$267	$41	15%	—	$218 – $351
13	Caresource facility · case rate · outpatient · +3 other terms	19	$968	$862	$456	53%	—	$49 – $1.7k
14	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
15	Medical Mutual facility · fee schedule · outpatient · +1 other terms	13	$118	$123	$13	10%	—	$118 – $167
16	Oscar facility · fee schedule · outpatient · +1 other terms	11	$175	$177	$3	2%	—	$175 – $182
17	Tricare fee schedule · outpatient · +1 other terms	11	$113	$116	$5	4%	—	$113 – $127
18	Regence fee schedule · outpatient · +4 other terms	10	$146	$146	$4	3%	—	$140 – $156
19	Excellus fee schedule · outpatient · +2 other terms	6	$236	$230	$60	26%	—	$127 – $351
20	Highmark fee schedule · outpatient · +3 other terms	6	$176	$708	$979	138%	—	$127 – $3.4k
21	Aetna Better Health facility · fee schedule · outpatient · +1 other terms	5	$68	$68	$1	1%	—	$68 – $70
22	Bcbs Mn fee schedule · outpatient	5	$1	$1	$0	66%	—	$0 – $1
23	Clover fee schedule · outpatient	5	$120	$125	$9	7%	—	$120 – $140
24	First Health professional · fee schedule · both · +1 other terms	3	$122	$122	—	—	—	$122 – $122
25	Amerihealth Caritas facility · percent of total billed charges · outpatientfrom % of charges	2	$82	$82	$38	47%	—	$43 – $120

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