Epifix skin graft material 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 EPIFIX DISK 18MM SQ CM

Payers reporting HCPCS Q4186

Payer pricing summary

Low

Average

$1.3k

Median

$828

High

$6.4k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Anthem fee schedule · outpatient · +21 other terms	92	$193	$3.7k	$9.5k	257%	2–20	$38 – $60.4k
2	Cigna fee schedule · outpatient · +27 other terms	399	$275	$1.8k	$5.3k	296%	1–10	$1 – $49.4k
3	UnitedHealthcare fee schedule · outpatient · +27 other terms	553	$210	$788	$3.3k	417%	—	$1 – $60.4k
4	Aetna fee schedule · outpatient · +29 other terms	317	$160	$2.4k	$7.1k	295%	—	$1 – $64.8k
5	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	285	$259	$875	$3.2k	368%	—	$1 – $42.8k
6	Humana fee schedule · outpatient · +25 other terms	214	$154	$438	$1.0k	231%	—	$1 – $14.2k
7	Molina fee schedule · outpatient · +24 other terms	111	$201	$529	$1.9k	358%	—	$1 – $25.4k
8	Kaiser fee schedule · outpatient · +19 other terms	75	$277	$5.8k	$9.5k	164%	—	$1 – $48.2k
9	Caresource fee schedule · outpatient · +13 other terms	69	$191	$225	$202	90%	—	$1 – $831
10	MultiPlan fee schedule · outpatient · +20 other terms	64	$6.2k	$12.5k	$14.8k	118%	—	$61 – $66.3k
11	Ambetter facility · fee schedule · outpatient · +15 other terms	63	$212	$219	$42	19%	—	$129 – $331
12	Tricare facility · fee schedule · outpatient · +13 other terms	53	$127	$328	$972	296%	—	$109 – $9.0k
13	WellCare fee schedule · outpatient · +19 other terms	49	$140	$140	$21	15%	—	$73 – $274
14	Devoted facility · fee schedule · outpatient · +13 other terms	47	$118	$122	$8	6%	—	$111 – $143
15	First Health fee schedule · outpatient · +16 other terms	36	$5.7k	$11.6k	$12.7k	110%	—	$167 – $54.9k
16	Highmark facility · fee schedule · outpatient · +14 other terms	35	$166	$182	$139	77%	—	$99 – $1.1k
17	Optum fee schedule · outpatient · +17 other terms	35	$170	$754	$1.4k	190%	—	$113 – $13.4k
18	Oscar facility · fee schedule · outpatient · +13 other terms	32	$184	$175	$116	66%	—	$143 – $1.4k
19	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$244	$252	$79	31%	—	$186 – $919
20	Medicare other · both · +13 other terms	27	$127	$139	$17	13%	—	$116 – $176
21	Regence professional · fee schedule · outpatient · +17 other terms	26	$153	$168	$17	10%	—	$153 – $189
22	Superior Healthplan facility · fee schedule · outpatient · +3 other terms	26	$131	$130	$18	14%	—	$57 – $332
23	Amerihealth Caritas other · outpatient · +8 other terms	25	$1.4k	$1.5k	$1.7k	115%	—	$144 – $13.3k
24	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	25	$158	$158	$31	20%	—	$119 – $207
25	Bcbs La fee schedule · outpatient · +2 other terms	25	$174	$174	$1	0%	—	$171 – $174

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