Xcellerate 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

Xcellerate, per sq cm

Payers reporting HCPCS Q4234

Payer pricing summary

Low

Average

$415

Median

$271

High

$3.9k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	433	$248	$353	$333	94%	—	$31 – $2.4k
2	Cigna fee schedule · outpatient · +11 other terms	278	$458	$650	$493	76%	—	$119 – $2.9k
3	Aetna fee schedule · outpatient · +13 other terms	241	$147	$269	$323	120%	—	$69 – $3.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	201	$130	$282	$620	220%	—	$1 – $4.7k
5	Humana fee schedule · outpatient · +11 other terms	184	$240	$291	$428	147%	—	$48 – $2.4k
6	Molina fee schedule · outpatient · +8 other terms	84	$201	$323	$371	115%	—	$51 – $3.4k
7	Caresource fee schedule · outpatient · +3 other terms	61	$234	$179	$126	70%	—	$48 – $434
8	Anthem facility · fee schedule · outpatient · +6 other terms	54	$178	$306	$372	122%	—	$48 – $2.0k
9	WellCare fee schedule · outpatient · +8 other terms	49	$140	$163	$90	55%	—	$115 – $580
10	Ambetter fee schedule · outpatient · +4 other terms	42	$234	$311	$220	71%	—	$162 – $1.2k
11	Kaiser fee schedule · outpatient · +4 other terms	42	$207	$273	$184	67%	—	$125 – $1000
12	Devoted fee schedule · outpatient · +3 other terms	35	$125	$125	$8	6%	—	$116 – $139
13	Optum fee schedule · outpatient · +4 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 · +2 other terms	19	$653	$639	$86	13%	—	$131 – $667
16	Oscar facility · fee schedule · outpatient · +2 other terms	19	$208	$209	$29	14%	—	$175 – $242
17	Medical Mutual facility · fee schedule · outpatient · +3 other terms	18	$342	$388	$226	58%	—	$64 – $831
18	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
19	Highmark fee schedule · outpatient · +4 other terms	16	$307	$368	$340	92%	—	$127 – $3.4k
20	Wellmark fee schedule · both · +1 other terms	14	$248	$267	$127	48%	—	$195 – $1.0k
21	Aetna Better Health fee schedule · outpatient · +4 other terms	11	$1.0k	$939	$121	13%	—	$778 – $1.0k
22	Bcbs Nj fee schedule · outpatient	11	$319	$324	$131	41%	—	$255 – $575
23	Medica fee schedule · outpatient · +6 other terms	11	$1.3k	$1.7k	$1.2k	72%	—	$774 – $7.3k
24	Tricare fee schedule · outpatient · +2 other terms	11	$113	$118	$10	8%	—	$113 – $148
25	Regence fee schedule · outpatient · +4 other terms	10	$146	$146	$4	3%	—	$140 – $156

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