Collagen 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

HC (SUP SHELL Q4193) COLL-E-DERM 1 SQ CM

Payers reporting HCPCS Q4193

Payer pricing summary

Low

Average

$1.3k

Median

$702

High

$6.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	425	$296	$1.5k	$2.1k	136%	—	$48 – $10.1k
2	Cigna fee schedule · outpatient · +11 other terms	253	$3.0k	$4.2k	$3.9k	94%	—	$119 – $14.7k
3	Aetna fee schedule · outpatient · +13 other terms	214	$146	$1.0k	$2.3k	234%	—	$69 – $20.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	197	$127	$437	$1.0k	231%	—	$0 – $14.4k
5	Humana fee schedule · outpatient · +8 other terms	171	$754	$749	$708	94%	—	$48 – $1.7k
6	Molina fee schedule · outpatient · +7 other terms	57	$193	$304	$457	150%	—	$51 – $3.4k
7	Anthem facility · fee schedule · outpatient · +8 other terms	54	$177	$901	$1.2k	135%	—	$0 – $5.0k
8	Caresource fee schedule · outpatient · +4 other terms	49	$191	$599	$828	138%	—	$48 – $2.9k
9	WellCare fee schedule · outpatient · +6 other terms	49	$140	$333	$545	163%	—	$115 – $2.2k
10	Kaiser fee schedule · outpatient · +6 other terms	41	$207	$336	$540	161%	—	$125 – $4.2k
11	Ambetter fee schedule · outpatient · +5 other terms	38	$248	$604	$950	157%	—	$162 – $3.3k
12	Devoted fee schedule · outpatient · +3 other terms	34	$125	$125	$8	6%	—	$116 – $139
13	Optum fee schedule · outpatient · +3 other terms	32	$125	$173	$91	53%	—	$113 – $459
14	Bcbs Tx fee schedule · outpatient	30	$8	$8	$3	31%	—	$6 – $30
15	Healthpartners fee schedule · outpatient · +1 other terms	19	$2.5k	$2.4k	$383	16%	—	$131 – $2.5k
16	Oscar facility · fee schedule · outpatient · +3 other terms	19	$234	$767	$881	115%	—	$175 – $2.1k
17	Medical Mutual facility · fee schedule · outpatient · +3 other terms	18	$2.8k	$3.0k	$2.4k	81%	—	$64 – $7.3k
18	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
19	Highmark fee schedule · outpatient · +4 other terms	16	$2.0k	$1.9k	$470	25%	—	$127 – $3.4k
20	Wellmark fee schedule · both · +1 other terms	14	$1.9k	$1.9k	$38	2%	—	$1.7k – $2.0k
21	Tricare fee schedule · outpatient · +2 other terms	12	$113	$119	$10	8%	—	$113 – $148
22	Bcbs Nj fee schedule · outpatient	11	$1.8k	$1.8k	$204	11%	—	$1.4k – $1.9k
23	Medica fee schedule · outpatient · +4 other terms	10	$4.1k	$4.1k	$1.0k	25%	—	$2.5k – $5.3k
24	Regence fee schedule · outpatient · +4 other terms	10	$146	$146	$4	3%	—	$140 – $156
25	Clover fee schedule · outpatient · +2 other terms	9	$140	$620	$699	113%	—	$120 – $1.6k

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