Cellesta flowable amnion graft, 0.5 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-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

Cellesta flowab amnion 0.5cc

Payers reporting HCPCS Q4185

Payer pricing summary

Low

Average

$728

Median

$597

High

$2.1k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	100	$78	$358	$1.1k	303%	—	$1 – $14.4k
2	Aetna fee schedule · outpatient · +5 other terms	38	$724	$1.2k	$967	79%	—	$589 – $4.6k
3	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$86	$78	$26	33%	—	$32 – $136
4	UnitedHealthcare fee schedule · outpatient · +2 other terms	19	$51	$363	$524	144%	—	$48 – $1.2k
5	Caresource fee schedule · outpatient · +1 other terms	14	$51	$50	$1	2%	—	$48 – $51
6	Anthem facility · fee schedule · outpatient · +3 other terms	12	$48	$44	$13	30%	—	$0 – $49
7	Cigna professional · fee schedule · outpatient	8	$781	$781	—	—	—	$781 – $781
8	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$606	$606	—	—	—	$606 – $606
9	Bcbs La fee schedule · outpatient · +1 other terms	6	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
10	Humana fee schedule · outpatient · +1 other terms	6	$589	$498	$202	40%	—	$48 – $589
11	Bcbs Mn fee schedule · outpatient	5	$1	$1	$0	66%	—	$0 – $1
12	First Health professional · fee schedule · both	3	$647	$647	—	—	—	$647 – $647
13	Molina fee schedule · outpatient	2	$1.1k	$1.6k	$1.2k	73%	—	$51 – $3.4k
14	Optum facility · fee schedule · outpatient	2	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
15	Bcbs Vt professional · fee schedule · outpatient	1	$589	$589	—	—	—	$589 – $589
16	Highmark fee schedule · outpatient	1	$2.1k	$2.1k	$881	42%	—	$1.5k – $3.4k