Bio-Connekt wound matrix, 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 (SUP SHELL Q4161) BIO-CONNEKT PER SQUARE CM

Payers reporting HCPCS Q4161

Payer pricing summary

Low

$91

Average

$1.1k

Median

$769

High

$3.4k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +11 other terms	426	$296	$1.7k	$2.4k	140%	—	$11 – $11.6k
2	Cigna fee schedule · outpatient · +9 other terms	261	$2.8k	$3.9k	$3.8k	98%	—	$119 – $14.1k
3	Aetna fee schedule · outpatient · +11 other terms	239	$144	$1.2k	$2.7k	230%	—	$69 – $26.0k
4	Humana fee schedule · outpatient · +9 other terms	187	$1.8k	$1.1k	$1.3k	120%	—	$48 – $8.3k
5	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	140	$172	$557	$827	148%	—	$1 – $3.3k
6	Molina fee schedule · outpatient · +9 other terms	57	$192	$312	$484	155%	—	$51 – $3.4k
7	Anthem facility · fee schedule · outpatient · +6 other terms	56	$177	$931	$1.3k	144%	—	$48 – $5.7k
8	WellCare fee schedule · outpatient · +6 other terms	51	$140	$336	$556	166%	—	$115 – $2.0k
9	Caresource fee schedule · outpatient · +3 other terms	49	$191	$640	$876	137%	—	$48 – $2.8k
10	Kaiser fee schedule · outpatient · +5 other terms	41	$207	$356	$687	193%	—	$125 – $5.4k
11	Ambetter fee schedule · outpatient · +3 other terms	38	$248	$655	$1.1k	168%	—	$162 – $3.8k
12	Devoted fee schedule · outpatient · +3 other terms	36	$125	$125	$8	6%	—	$116 – $139
13	Optum fee schedule · outpatient · +2 other terms	32	$125	$173	$91	53%	—	$113 – $459
14	Regence professional · fee schedule · outpatient · +5 other terms	21	$127	$207	$360	174%	—	$127 – $1.9k
15	Healthpartners fee schedule · outpatient · +1 other terms	19	$2.2k	$2.2k	$342	16%	—	$131 – $2.3k
16	Oscar facility · fee schedule · outpatient · +2 other terms	19	$234	$745	$847	114%	—	$175 – $2.1k
17	Medical Mutual facility · fee schedule · outpatient · +3 other terms	18	$2.7k	$2.9k	$2.3k	81%	—	$64 – $7.1k
18	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
19	Highmark fee schedule · outpatient · +4 other terms	16	$2.3k	$2.2k	$552	25%	—	$127 – $3.4k
20	Wellmark fee schedule · both · +1 other terms	14	$2.5k	$2.5k	$134	5%	—	$1.7k – $2.5k
21	Tricare fee schedule · outpatient · +2 other terms	12	$113	$119	$10	8%	—	$113 – $148
22	Aetna Better Health fee schedule · outpatient · +3 other terms	11	$2.5k	$1.6k	$1.1k	68%	—	$171 – $2.5k
23	Bcbs Nj fee schedule · outpatient	11	$2.3k	$2.3k	$345	15%	—	$1.7k – $2.5k
24	Medica fee schedule · outpatient · +4 other terms	10	$281	$283	$71	25%	—	$170 – $362
25	Clover fee schedule · outpatient · +2 other terms	9	$140	$701	$815	116%	—	$120 – $1.9k

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