Artacent AC skin substitute graft, per mg

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Artacent ac, 1 mg

Payers reporting HCPCS Q4189

Payer pricing summary

Low

Average

$126

Median

$45

High

$1.3k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +6 other terms	172	$40	$67	$47	70%	—	$21 – $182
2	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	107	$81	$352	$1.1k	304%	—	$1 – $14.4k
3	Aetna fee schedule · outpatient · +6 other terms	57	$21	$39	$36	90%	—	$20 – $217
4	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$90	$82	$27	33%	—	$33 – $141
5	UnitedHealthcare fee schedule · outpatient · +7 other terms	27	$48	$32	$10	32%	—	$21 – $51
6	Anthem facility · fee schedule · outpatient · +4 other terms	14	$48	$45	$7	16%	—	$32 – $65
7	Caresource fee schedule · outpatient · +1 other terms	14	$51	$50	$1	2%	—	$48 – $51
8	Humana fee schedule · outpatient · +4 other terms	13	$65	$54	$24	45%	—	$20 – $81
9	Highmark fee schedule · outpatient · +3 other terms	12	$23	$77	$358	467%	—	$21 – $3.4k
10	Medica fee schedule · outpatient · +4 other terms	10	$44	$44	$11	25%	—	$26 – $56
11	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$21	$21	—	—	—	$21 – $21
12	Bcbs La fee schedule · outpatient · +1 other terms	6	$23	$23	—	—	—	$23 – $23
13	Bcbs Mn fee schedule · outpatient	5	$1	$1	$0	66%	—	$0 – $1
14	First Health facility · fee schedule · outpatient · +1 other terms	4	$63	$63	—	—	—	$63 – $63
15	Molina fee schedule · outpatient · +1 other terms	2	$1.1k	$1.6k	$1.2k	73%	—	$51 – $3.4k
16	Bcbs Nv fee schedule · outpatient	1	$21	$21	—	—	—	$21 – $21
17	Bcbs Vt professional · fee schedule · outpatient	1	$21	$21	—	—	—	$21 – $21
18	Kaiser fee schedule · outpatient	1	$45	$45	—	—	—	$45 – $45