Skin substitute wound dressing, 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

Woundfix biowound plus xplus

Payers reporting HCPCS Q4217

Payer pricing summary

Low

$12

Average

$357

Median

$315

High

$1.3k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +9 other terms	431	$273	$412	$394	96%	—	$48 – $3.0k
2	Cigna fee schedule · outpatient · +7 other terms	288	$592	$830	$676	81%	—	$119 – $3.5k
3	Aetna fee schedule · outpatient · +9 other terms	247	$146	$319	$441	138%	—	$69 – $4.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	206	$133	$326	$717	220%	—	$1 – $5.5k
5	Humana fee schedule · outpatient · +7 other terms	184	$265	$310	$519	167%	—	$48 – $3.0k
6	Molina fee schedule · outpatient · +7 other terms	84	$201	$364	$419	115%	—	$51 – $3.4k
7	Caresource fee schedule · outpatient · +3 other terms	61	$274	$220	$192	87%	—	$48 – $630
8	Anthem facility · fee schedule · outpatient · +5 other terms	54	$178	$293	$238	81%	—	$48 – $1.2k
9	WellCare fee schedule · outpatient · +6 other terms	49	$140	$158	$62	39%	—	$115 – $395
10	Ambetter fee schedule · outpatient · +4 other terms	42	$234	$333	$283	85%	—	$162 – $1.5k
11	Kaiser fee schedule · outpatient · +4 other terms	42	$207	$277	$192	69%	—	$125 – $1000
12	Devoted fee schedule · outpatient · +3 other terms	35	$125	$125	$8	6%	—	$116 – $139
13	Optum fee schedule · outpatient · +2 other terms	32	$125	$173	$91	53%	—	$113 – $459
14	Bcbs Tx fee schedule · outpatient	30	$11	$12	$4	31%	—	$9 – $43
15	Healthpartners fee schedule · outpatient · +1 other terms	19	$443	$434	$51	12%	—	$131 – $453
16	Oscar facility · fee schedule · outpatient · +2 other terms	19	$234	$255	$93	37%	—	$175 – $394
17	Medical Mutual facility · fee schedule · outpatient · +3 other terms	18	$539	$598	$400	67%	—	$64 – $1.4k
18	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
19	Highmark fee schedule · outpatient · +4 other terms	16	$339	$402	$349	87%	—	$127 – $3.4k
20	Wellmark fee schedule · both · +2 other terms	14	$274	$283	$51	18%	—	$274 – $595
21	Aetna Better Health fee schedule · outpatient · +2 other terms	11	$541	$696	$205	29%	—	$541 – $967
22	Bcbs Nj fee schedule · outpatient	11	$363	$362	$17	5%	—	$330 – $371
23	Tricare fee schedule · outpatient · +1 other terms	11	$113	$118	$10	8%	—	$113 – $148
24	Medica fee schedule · outpatient · +4 other terms	10	$1.6k	$1.6k	$399	25%	—	$961 – $2.0k
25	Regence fee schedule · outpatient · +4 other terms	10	$146	$146	$4	3%	—	$140 – $156

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