Excellagen wound care gel, per 0.1 cc

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Excellagen, 0.1 cc

Payers reporting HCPCS Q4149

Payer pricing summary

Low

Average

$434

Median

$164

High

$5.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +7 other terms	369	$287	$303	$147	49%	—	$1 – $1.1k
2	Cigna fee schedule · outpatient · +9 other terms	172	$280	$468	$327	70%	—	$148 – $1.3k
3	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	122	$117	$121	$83	69%	—	$1 – $895
4	Aetna fee schedule · outpatient · +9 other terms	60	$153	$294	$315	107%	—	$139 – $2.1k
5	Bcbs Tx fee schedule · outpatient · +2 other terms	30	$130	$118	$39	33%	—	$48 – $204
6	Anthem facility · fee schedule · outpatient · +4 other terms	16	$38	$57	$19	33%	—	$38 – $108
7	Caresource fee schedule · outpatient · +1 other terms	15	$38	$36	$7	18%	—	$1 – $39
8	Wellmark fee schedule · both · +2 other terms	13	$145	$145	$0	0%	—	$145 – $146
9	Bcbs Nj fee schedule · outpatient	12	$144	$144	—	—	—	$144 – $144
10	Highmark fee schedule · outpatient · +3 other terms	12	$163	$212	$338	159%	—	$148 – $3.4k
11	Humana fee schedule · outpatient · +4 other terms	12	$139	$281	$542	192%	—	$1 – $2.1k
12	Medica fee schedule · outpatient · +4 other terms	10	$303	$306	$76	25%	—	$184 – $391
13	Molina fee schedule · outpatient · +4 other terms	10	$143	$618	$972	157%	—	$1 – $3.4k
14	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$143	$143	—	—	—	$143 – $143
15	Bcbs La fee schedule · outpatient · +1 other terms	6	$157	$157	—	—	—	$157 – $157
16	Bcbs Mn fee schedule · outpatient	5	$1	$46	$68	147%	—	$1 – $148
17	Excellus facility · fee schedule · outpatient	5	$241	$270	$163	60%	—	$154 – $692
18	First Health facility · fee schedule · outpatient · +1 other terms	4	$435	$435	—	—	—	$435 – $435
19	MultiPlan percent of total billed charges · inpatientfrom % of charges · +1 other terms	4	$470	$470	$132	28%	—	$339 – $602
20	Phcs percent of total billed charges · inpatientfrom % of charges · +1 other terms	4	$403	$403	$113	28%	—	$290 – $515
21	WellCare percent of total billed charges · outpatientfrom % of charges	4	$55	$56	$16	29%	—	$36 – $78
22	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$43	$45	$3	6%	—	$43 – $49
23	Optum facility · fee schedule · outpatient	2	$488	$488	—	—	—	$488 – $488
24	Sanford Health Plan facility · fee schedule · outpatient	2	$148	$148	—	—	—	$148 – $148
25	Bcbs Ca fee schedule · outpatient · +1 other terms	1	$148	$148	—	—	—	$148 – $148

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