Surgical cord per square centimeter (add-on)

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

Surgicord per sq cm

Payers reporting HCPCS Q4218

Payer pricing summary

Low

Average

$162

Median

$143

High

$310

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +9 other terms	286	$210	$204	$75	36%	—	$48 – $483
2	Cigna fee schedule · outpatient · +8 other terms	210	$235	$365	$275	75%	—	$119 – $1.1k
3	Aetna fee schedule · outpatient · +9 other terms	182	$127	$177	$138	78%	—	$69 – $1.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	143	$232	$259	$114	44%	—	$1 – $580
5	Humana fee schedule · outpatient · +6 other terms	84	$125	$128	$16	13%	—	$48 – $171
6	Anthem facility · fee schedule · outpatient · +4 other terms	50	$161	$191	$162	85%	—	$48 – $1.2k
7	Molina fee schedule · outpatient · +6 other terms	46	$191	$257	$417	163%	—	$51 – $3.4k
8	WellCare fee schedule · outpatient · +4 other terms	45	$136	$139	$14	10%	—	$115 – $171
9	Ambetter fee schedule · outpatient · +2 other terms	33	$234	$246	$45	18%	—	$162 – $351
10	Devoted fee schedule · outpatient · +3 other terms	32	$125	$124	$7	6%	—	$116 – $136
11	Optum fee schedule · outpatient · +1 other terms	32	$125	$173	$91	53%	—	$113 – $459
12	Bcbs Tx fee schedule · outpatient	30	$244	$252	$79	31%	—	$186 – $919
13	Caresource fee schedule · outpatient · +5 other terms	24	$100	$94	$65	69%	—	$48 – $213
14	Kaiser fee schedule · outpatient · +4 other terms	24	$125	$308	$238	77%	—	$125 – $1000
15	Oscar facility · fee schedule · outpatient · +3 other terms	19	$182	$196	$25	13%	—	$175 – $234
16	Medicare fee schedule · outpatient	18	$125	$125	—	—	—	$125 – $125
17	Highmark fee schedule · outpatient · +4 other terms	16	$140	$190	$331	174%	—	$127 – $3.4k
18	Tricare fee schedule · outpatient · +1 other terms	16	$121	$121	$9	8%	—	$113 – $148
19	Medical Mutual facility · fee schedule · outpatient · +2 other terms	14	$118	$150	$96	64%	—	$64 – $468
20	Bcbs Nj fee schedule · outpatient	10	$125	$125	—	—	—	$125 – $125
21	Medica fee schedule · outpatient · +4 other terms	10	$304	$307	$77	25%	—	$185 – $393
22	Regence fee schedule · outpatient · +4 other terms	10	$146	$146	$4	3%	—	$140 – $156
23	Clover facility · fee schedule · outpatient · +1 other terms	8	$123	$123	$6	5%	—	$117 – $134
24	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$124	$124	—	—	—	$124 – $124
25	Bcbs La fee schedule · outpatient · +1 other terms	6	$135	$135	—	—	—	$135 – $135

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