Neostim collagen membrane, 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

Neostim per sq cm

Payers reporting HCPCS Q4266

Payer pricing summary

Low

Average

$615

Median

$534

High

$2.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +9 other terms	428	$296	$819	$1.1k	131%	—	$48 – $6.2k
2	Cigna fee schedule · outpatient · +7 other terms	286	$1.1k	$1.7k	$1.4k	82%	—	$119 – $9.8k
3	Aetna fee schedule · outpatient · +9 other terms	244	$147	$546	$1.0k	185%	—	$69 – $10.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	198	$133	$303	$576	190%	—	$1 – $3.5k
5	Humana fee schedule · outpatient · +7 other terms	183	$960	$582	$560	96%	—	$48 – $2.6k
6	Molina fee schedule · outpatient · +6 other terms	80	$200	$558	$790	141%	—	$51 – $3.4k
7	Caresource fee schedule · outpatient · +3 other terms	61	$674	$472	$526	112%	—	$48 – $1.5k
8	Anthem facility · fee schedule · outpatient · +5 other terms	53	$177	$504	$573	114%	—	$48 – $2.6k
9	WellCare fee schedule · outpatient · +5 other terms	49	$140	$263	$360	137%	—	$115 – $1.6k
10	Ambetter fee schedule · outpatient · +3 other terms	42	$234	$595	$954	160%	—	$162 – $4.3k
11	Kaiser fee schedule · outpatient · +4 other terms	42	$207	$295	$273	92%	—	$125 – $1.9k
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	$1.1k	$1.0k	$153	15%	—	$131 – $1.1k
16	Oscar facility · fee schedule · outpatient · +2 other terms	19	$234	$344	$229	67%	—	$175 – $695
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	$929	$768	83%	—	$64 – $2.4k
19	Highmark fee schedule · outpatient · +4 other terms	16	$1.2k	$1.2k	$327	28%	—	$127 – $3.4k
20	Wellmark fee schedule · both · +2 other terms	14	$990	$957	$148	15%	—	$149 – $990
21	Bcbs Nj fee schedule · outpatient	11	$823	$818	$135	17%	—	$561 – $889
22	Tricare fee schedule · outpatient · +1 other terms	11	$113	$118	$10	8%	—	$113 – $148
23	Medica fee schedule · outpatient · +4 other terms	10	$1.7k	$1.7k	$420	25%	—	$1.0k – $2.2k
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	$413	$408	99%	—	$120 – $990

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