Skin substitute graft 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

Complete ft per sq cm

Payers reporting HCPCS Q4271

Payer pricing summary

Low

$91

Average

$881

Median

$664

High

$2.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +9 other terms	426	$296	$1.2k	$1.5k	130%	—	$48 – $8.7k
2	Cigna fee schedule · outpatient · +8 other terms	294	$2.1k	$2.9k	$2.6k	89%	—	$119 – $10.8k
3	Aetna fee schedule · outpatient · +9 other terms	231	$146	$865	$1.8k	207%	—	$69 – $18.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	191	$149	$498	$939	189%	—	$1 – $6.1k
5	Humana fee schedule · outpatient · +7 other terms	182	$1.4k	$912	$1.2k	134%	—	$48 – $6.4k
6	Molina fee schedule · outpatient · +6 other terms	80	$200	$817	$1.3k	164%	—	$51 – $3.8k
7	Caresource fee schedule · outpatient · +3 other terms	61	$1.4k	$743	$921	124%	—	$48 – $2.6k
8	Anthem facility · fee schedule · outpatient · +5 other terms	53	$177	$829	$1.0k	126%	—	$48 – $4.1k
9	WellCare fee schedule · outpatient · +5 other terms	49	$140	$297	$440	148%	—	$115 – $1.7k
10	Ambetter fee schedule · outpatient · +4 other terms	42	$234	$706	$1.2k	164%	—	$162 – $4.7k
11	Kaiser fee schedule · outpatient · +4 other terms	42	$207	$318	$421	132%	—	$125 – $3.2k
12	Devoted fee schedule · outpatient · +3 other terms	34	$125	$125	$8	6%	—	$116 – $139
13	Optum fee schedule · outpatient · +3 other terms	32	$125	$173	$91	53%	—	$113 – $459
14	Bcbs Tx fee schedule · outpatient	30	$103	$106	$33	31%	—	$79 – $388
15	Healthpartners fee schedule · outpatient · +1 other terms	19	$1.8k	$1.8k	$280	16%	—	$131 – $1.9k
16	Oscar facility · fee schedule · outpatient · +2 other terms	19	$234	$583	$596	102%	—	$175 – $1.5k
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	$1.9k	$1.7k	90%	—	$64 – $5.2k
19	Highmark fee schedule · outpatient · +4 other terms	16	$1.7k	$1.6k	$411	25%	—	$127 – $3.4k
20	Wellmark fee schedule · both · +1 other terms	14	$1.4k	$1.4k	$97	7%	—	$1.2k – $2.0k
21	Bcbs Nj fee schedule · outpatient	11	$1.5k	$1.5k	$147	10%	—	$1.2k – $1.5k
22	Tricare fee schedule · outpatient · +1 other terms	11	$113	$118	$10	8%	—	$113 – $148
23	Medica fee schedule · outpatient · +4 other terms	10	$3.4k	$3.5k	$867	25%	—	$2.1k – $4.5k
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	$550	$601	109%	—	$120 – $1.4k

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