Affinity product, billed 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

HC Affinity per Sq Cm

Payers reporting HCPCS Q4159

Payer pricing summary

Low

$91

Average

$791

Median

$534

High

$5.5k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +25 other terms	472	$273	$397	$461	116%	—	$0 – $4.1k
2	Cigna fee schedule · outpatient · +22 other terms	322	$395	$688	$573	83%	—	$0 – $4.3k
3	Aetna fee schedule · outpatient · +26 other terms	280	$149	$493	$777	157%	—	$0 – $4.0k
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +24 other terms	212	$205	$426	$584	137%	—	$1 – $4.0k
5	Humana fee schedule · outpatient · +22 other terms	200	$255	$279	$367	131%	—	$0 – $4.3k
6	Molina fee schedule · outpatient · +21 other terms	89	$200	$305	$357	117%	—	$0 – $3.4k
7	Anthem facility · fee schedule · outpatient · +22 other terms	80	$202	$289	$192	66%	—	$48 – $1.4k
8	Caresource fee schedule · outpatient · +13 other terms	64	$263	$234	$191	82%	—	$1 – $524
9	Ambetter facility · fee schedule · outpatient · +17 other terms	59	$212	$212	$41	19%	—	$129 – $269
10	WellCare fee schedule · outpatient · +16 other terms	53	$135	$143	$45	31%	—	$0 – $279
11	Kaiser fee schedule · outpatient · +16 other terms	47	$258	$431	$619	144%	—	$125 – $3.1k
12	Devoted facility · fee schedule · outpatient · +11 other terms	40	$118	$123	$8	7%	—	$112 – $143
13	Optum fee schedule · outpatient · +13 other terms	38	$125	$366	$287	78%	—	$113 – $1.1k
14	Tricare facility · fee schedule · outpatient · +9 other terms	26	$127	$151	$154	102%	—	$109 – $1.1k
15	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	25	$158	$158	$31	20%	—	$119 – $207
16	Highmark facility · fee schedule · outpatient · +12 other terms	23	$199	$567	$774	136%	—	$117 – $3.0k
17	Medicare fee schedule · outpatient · +8 other terms	22	$125	$127	$6	4%	—	$123 – $139
18	MultiPlan fee schedule · outpatient · +13 other terms	22	$1.8k	$3.1k	$4.1k	130%	—	$0 – $17.5k
19	Superior Healthplan facility · fee schedule · outpatient · +3 other terms	22	$131	$128	$3	3%	—	$125 – $136
20	Oscar facility · fee schedule · outpatient · +11 other terms	21	$233	$216	$50	23%	—	$159 – $292
21	Regence professional · fee schedule · outpatient · +13 other terms	21	$461	$438	$74	17%	—	$153 – $461
22	Healthpartners fee schedule · outpatient · +8 other terms	20	$314	$309	$30	10%	—	$131 – $321
23	Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms	19	$689	$929	$682	73%	—	$228 – $3.1k
24	Beechstreet percent of total billed charges · outpatientfrom % of charges · +1 other terms	18	$1.1k	$1.2k	$344	29%	—	$1.0k – $2.5k
25	Medical Mutual facility · fee schedule · outpatient · +9 other terms	18	$124	$390	$346	89%	—	$64 – $1.0k

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