Flowerderm 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

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

Payers reporting HCPCS Q4179

Payer pricing summary

Low

Average

$639

Median

$165

High

$5.0k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +8 other terms	251	$210	$274	$586	214%	—	$48 – $8.1k
2	Aetna fee schedule · outpatient · +10 other terms	86	$127	$153	$108	71%	—	$69 – $841
3	Humana fee schedule · outpatient · +6 other terms	68	$125	$126	$15	12%	—	$48 – $171
4	Cigna fee schedule · outpatient · +6 other terms	58	$131	$484	$1.3k	272%	—	$119 – $7.2k
5	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	49	$125	$270	$304	113%	—	$0 – $1.6k
6	WellCare fee schedule · outpatient · +4 other terms	40	$136	$138	$14	10%	—	$119 – $171
7	Anthem facility · fee schedule · outpatient · +4 other terms	35	$118	$192	$185	96%	—	$0 – $1.2k
8	Molina facility · fee schedule · outpatient · +5 other terms	34	$118	$129	$50	39%	—	$65 – $319
9	Devoted facility · fee schedule · outpatient · +3 other terms	23	$118	$124	$11	9%	—	$118 – $143
10	Kaiser fee schedule · outpatient · +4 other terms	22	$125	$307	$247	80%	—	$125 – $1000
11	Optum fee schedule · outpatient · +1 other terms	22	$125	$151	$98	65%	—	$113 – $459
12	Ambetter fee schedule · outpatient · +3 other terms	20	$272	$267	$41	15%	—	$218 – $351
13	Medicare fee schedule · outpatient	18	$125	$125	—	—	—	$125 – $125
14	Caresource fee schedule · outpatient · +3 other terms	15	$51	$79	$57	73%	—	$48 – $199
15	Medical Mutual facility · fee schedule · outpatient · +1 other terms	13	$118	$123	$13	10%	—	$118 – $167
16	Oscar facility · fee schedule · outpatient · +2 other terms	11	$175	$177	$3	2%	—	$175 – $182
17	Regence fee schedule · outpatient · +4 other terms	10	$146	$146	$4	3%	—	$140 – $156
18	Tricare fee schedule · outpatient · +1 other terms	10	$113	$115	$4	3%	—	$113 – $121
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	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	Phcs percent of total billed charges · outpatientfrom % of charges	3	$5.0k	$5.0k	$1.4k	27%	—	$3.7k – $6.4k

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