Ascent skin substitute graft material, 0.5 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

Ascent, 0.5 mg

Payers reporting HCPCS Q4213

Payer pricing summary

Low

Average

$1.0k

Median

$161

High

$6.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +8 other terms	371	$114	$124	$83	67%	—	$48 – $1.3k
2	Cigna fee schedule · outpatient · +8 other terms	174	$111	$184	$129	70%	—	$59 – $501
3	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	100	$127	$135	$66	49%	—	$1 – $463
4	Aetna fee schedule · outpatient · +8 other terms	65	$70	$212	$386	182%	—	$55 – $1.6k
5	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$181	$164	$55	33%	—	$67 – $284
6	Caresource fee schedule · outpatient · +1 other terms	14	$51	$50	$1	2%	—	$48 – $51
7	Anthem facility · fee schedule · outpatient · +7 other terms	13	$48	$76	$23	30%	—	$48 – $105
8	Wellmark fee schedule · both · +2 other terms	13	$69	$69	$2	3%	—	$58 – $69
9	Bcbs Nj fee schedule · outpatient	12	$57	$57	—	—	—	$57 – $57
10	Highmark fee schedule · outpatient · +3 other terms	12	$64	$117	$352	302%	—	$59 – $3.4k
11	Humana fee schedule · outpatient · +3 other terms	10	$55	$55	$3	5%	—	$48 – $57
12	Medica fee schedule · outpatient · +4 other terms	10	$144	$145	$36	25%	—	$87 – $186
13	Medical Mutual facility · fee schedule · outpatient · +2 other terms	10	$183	$184	$47	25%	—	$110 – $280
14	Molina fee schedule · outpatient · +3 other terms	9	$57	$619	$1.0k	166%	—	$51 – $3.4k
15	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$57	$57	—	—	—	$57 – $57
16	Bcbs La fee schedule · outpatient · +1 other terms	6	$62	$62	—	—	—	$62 – $62
17	Bcbs Mn fee schedule · outpatient	5	$1	$1	$0	66%	—	$0 – $1
18	Excellus facility · fee schedule · outpatient	5	$103	$114	$60	52%	—	$73 – $274
19	First Health facility · fee schedule · outpatient · +5 other terms	4	$172	$172	—	—	—	$172 – $172
20	Healthcare Highways facility · percent of total billed charges · bothfrom % of charges	2	$1.9k	$1.9k	$760	40%	—	$1.1k – $3.9k
21	MultiPlan fee schedule · inpatient · +3 other terms	2	$7.6k	$7.6k	$331	4%	—	$7.3k – $7.9k
22	Optum facility · fee schedule · outpatient	2	$69	$69	—	—	—	$69 – $69
23	Sanford Health Plan facility · fee schedule · outpatient	2	$59	$59	—	—	—	$59 – $59
24	Bcbs Id professional · fee schedule · outpatient	1	$59	$59	—	—	—	$59 – $59
25	Bcbs Il professional · fee schedule · both	1	$73	$73	—	—	—	$73 – $73

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