Neostim DL 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 dl per sq cm

Payers reporting HCPCS Q4267

Payer pricing summary

Low

$91

Average

$380

Median

$307

High

$1.4k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +9 other terms	428	$273	$408	$417	102%	—	$48 – $3.3k
2	Cigna fee schedule · outpatient · +7 other terms	307	$554	$762	$614	81%	—	$39 – $4.5k
3	Aetna fee schedule · outpatient · +9 other terms	244	$147	$314	$440	140%	—	$69 – $4.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	198	$275	$371	$454	122%	—	$1 – $3.4k
5	Humana fee schedule · outpatient · +7 other terms	183	$266	$334	$595	178%	—	$48 – $3.3k
6	Molina fee schedule · outpatient · +6 other terms	80	$200	$354	$425	120%	—	$51 – $3.4k
7	Caresource fee schedule · outpatient · +3 other terms	61	$275	$218	$189	87%	—	$48 – $631
8	Anthem facility · fee schedule · outpatient · +5 other terms	53	$177	$279	$228	82%	—	$48 – $1.2k
9	WellCare fee schedule · outpatient · +5 other terms	49	$140	$159	$63	40%	—	$115 – $403
10	Ambetter fee schedule · outpatient · +4 other terms	42	$234	$351	$367	104%	—	$162 – $2.0k
11	Kaiser fee schedule · outpatient · +4 other terms	42	$207	$277	$192	69%	—	$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	32	$125	$173	$91	53%	—	$113 – $459
14	Bcbs Tx fee schedule · outpatient	30	$244	$252	$79	31%	—	$186 – $919
15	Healthpartners fee schedule · outpatient · +1 other terms	19	$443	$435	$52	12%	—	$131 – $453
16	Oscar facility · fee schedule · outpatient · +2 other terms	19	$234	$244	$78	32%	—	$175 – $360
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	$512	$369	72%	—	$64 – $1.2k
19	Highmark fee schedule · outpatient · +4 other terms	16	$340	$385	$314	82%	—	$127 – $3.4k
20	Wellmark fee schedule · both · +2 other terms	14	$275	$293	$113	39%	—	$275 – $990
21	Aetna Better Health fee schedule · outpatient · +2 other terms	11	$901	$967	$87	9%	—	$901 – $1.1k
22	Bcbs Nj fee schedule · outpatient	11	$364	$364	$15	4%	—	$335 – $371
23	Tricare fee schedule · outpatient · +1 other terms	11	$113	$118	$10	8%	—	$113 – $148
24	Medica fee schedule · outpatient · +4 other terms	10	$1.8k	$1.8k	$446	25%	—	$1.1k – $2.3k
25	Regence fee schedule · outpatient · +4 other terms	10	$146	$146	$4	3%	—	$140 – $156

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