Neostim TL 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-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

Neostim tl per sq cm

Payers reporting HCPCS Q4265

Payer pricing summary

Low

Average

$1.0k

Median

$813

High

$3.5k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +9 other terms	428	$296	$1.5k	$2.0k	133%	—	$48 – $10.9k
2	Cigna fee schedule · outpatient · +7 other terms	286	$2.5k	$4.0k	$3.7k	94%	—	$119 – $14.6k
3	Aetna fee schedule · outpatient · +9 other terms	244	$147	$1.1k	$2.4k	218%	—	$69 – $25.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	198	$133	$575	$1.3k	226%	—	$1 – $8.3k
5	Humana fee schedule · outpatient · +7 other terms	183	$1.6k	$893	$844	95%	—	$48 – $2.9k
6	Molina fee schedule · outpatient · +6 other terms	80	$200	$1.0k	$1.8k	177%	—	$51 – $5.2k
7	Caresource fee schedule · outpatient · +3 other terms	61	$1.8k	$972	$1.3k	130%	—	$48 – $3.6k
8	Anthem facility · fee schedule · outpatient · +5 other terms	53	$177	$1.1k	$1.3k	127%	—	$48 – $5.0k
9	WellCare fee schedule · outpatient · +5 other terms	49	$140	$346	$578	167%	—	$115 – $2.2k
10	Ambetter fee schedule · outpatient · +3 other terms	42	$234	$827	$1.4k	174%	—	$162 – $5.7k
11	Kaiser fee schedule · outpatient · +4 other terms	42	$207	$338	$564	167%	—	$125 – $4.4k
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	$8	$8	$3	31%	—	$6 – $30
15	Healthpartners fee schedule · outpatient · +1 other terms	19	$2.5k	$2.5k	$392	16%	—	$131 – $2.6k
16	Oscar facility · fee schedule · outpatient · +2 other terms	19	$234	$764	$876	115%	—	$175 – $2.1k
17	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
18	Medical Mutual facility · fee schedule · outpatient · +2 other terms	17	$142	$2.7k	$2.5k	92%	—	$64 – $7.3k
19	Highmark fee schedule · outpatient · +4 other terms	16	$2.2k	$2.0k	$507	25%	—	$127 – $3.4k
20	Wellmark fee schedule · both · +2 other terms	14	$1.8k	$1.7k	$237	14%	—	$251 – $1.8k
21	Bcbs Nj fee schedule · outpatient	11	$2.0k	$2.0k	$278	14%	—	$1.4k – $2.1k
22	Tricare fee schedule · outpatient · +1 other terms	11	$113	$118	$10	8%	—	$113 – $148
23	Medica fee schedule · outpatient · +4 other terms	10	$1.9k	$1.9k	$471	25%	—	$1.1k – $2.4k
24	Regence fee schedule · outpatient · +4 other terms	10	$146	$146	$4	3%	—	$140 – $156
25	Clover fee schedule · outpatient · +2 other terms	9	$140	$667	$766	115%	—	$120 – $1.8k

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