Skin substitute 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

Vendaje, per square centimet

Payers reporting HCPCS Q4252

Payer pricing summary

Low

Average

$192

Median

$162

High

$928

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +10 other terms	428	$210	$223	$181	82%	—	$48 – $1.1k
2	Cigna fee schedule · outpatient · +8 other terms	286	$147	$208	$130	62%	—	$43 – $1.8k
3	Aetna fee schedule · outpatient · +10 other terms	241	$131	$159	$107	67%	—	$61 – $919
4	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	189	$121	$106	$139	131%	—	$0 – $1.0k
5	Humana fee schedule · outpatient · +7 other terms	184	$116	$156	$188	120%	—	$48 – $1.1k
6	Molina fee schedule · outpatient · +7 other terms	84	$191	$233	$341	146%	—	$51 – $3.4k
7	Caresource fee schedule · outpatient · +3 other terms	61	$100	$99	$50	50%	—	$48 – $213
8	Anthem facility · fee schedule · outpatient · +5 other terms	55	$161	$163	$146	90%	—	$48 – $1.2k
9	WellCare fee schedule · outpatient · +6 other terms	49	$135	$133	$19	14%	—	$91 – $171
10	Ambetter fee schedule · outpatient · +4 other terms	42	$234	$259	$123	47%	—	$50 – $772
11	Kaiser fee schedule · outpatient · +4 other terms	42	$207	$267	$181	68%	—	$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	31	$125	$164	$76	47%	—	$113 – $459
14	Bcbs Tx fee schedule · outpatient	30	$8	$8	$3	31%	—	$6 – $30
15	Regence professional · fee schedule · outpatient · +4 other terms	21	$176	$171	$19	11%	—	$86 – $176
16	Healthpartners fee schedule · outpatient · +1 other terms	19	$92	$93	$7	7%	—	$90 – $131
17	Oscar facility · fee schedule · outpatient · +2 other terms	19	$182	$157	$63	40%	—	$66 – $234
18	Medical Mutual facility · fee schedule · outpatient · +3 other terms	18	$126	$146	$67	46%	—	$64 – $468
19	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
20	Highmark fee schedule · outpatient · +6 other terms	16	$123	$202	$365	181%	—	$89 – $3.4k
21	Wellmark fee schedule · both · +1 other terms	14	$950	$906	$188	21%	—	$53 – $950
22	Aetna Better Health fee schedule · outpatient · +3 other terms	11	$131	$217	$113	52%	—	$131 – $366
23	Bcbs Nj fee schedule · outpatient · +1 other terms	11	$73	$72	$9	13%	—	$55 – $77
24	Tricare fee schedule · outpatient · +1 other terms	11	$113	$118	$10	8%	—	$113 – $148
25	Medica fee schedule · outpatient · +4 other terms	10	$601	$605	$151	25%	—	$364 – $775

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