Epieffect 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-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

Epieffect, per sq cm

Payers reporting HCPCS Q4278

Payer pricing summary

Low

Average

$757

Median

$312

High

$5.8k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	426	$246	$342	$268	78%	—	$48 – $2.0k
2	Cigna fee schedule · outpatient · +12 other terms	307	$459	$650	$534	82%	—	$119 – $2.5k
3	Aetna fee schedule · outpatient · +13 other terms	238	$147	$273	$340	125%	—	$69 – $3.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	200	$133	$215	$368	171%	—	$1 – $2.3k
5	Humana fee schedule · outpatient · +13 other terms	182	$239	$257	$346	135%	—	$48 – $2.0k
6	Molina fee schedule · outpatient · +9 other terms	81	$200	$330	$393	119%	—	$51 – $3.4k
7	Caresource fee schedule · outpatient · +5 other terms	61	$246	$197	$155	79%	—	$48 – $520
8	Anthem facility · fee schedule · outpatient · +10 other terms	57	$177	$206	$142	69%	—	$48 – $758
9	WellCare fee schedule · outpatient · +8 other terms	49	$140	$154	$48	31%	—	$115 – $332
10	Kaiser fee schedule · outpatient · +7 other terms	43	$207	$279	$188	67%	—	$125 – $1000
11	Ambetter fee schedule · outpatient · +7 other terms	42	$234	$306	$192	63%	—	$162 – $1.1k
12	Devoted fee schedule · outpatient · +4 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	$8	$8	$3	31%	—	$6 – $30
15	Healthpartners fee schedule · outpatient · +4 other terms	19	$365	$359	$39	11%	—	$131 – $374
16	Oscar facility · fee schedule · outpatient · +2 other terms	19	$234	$235	$64	27%	—	$175 – $329
17	Medicare fee schedule · outpatient · +2 other terms	18	$125	$125	—	—	—	$125 – $125
18	Medical Mutual facility · fee schedule · outpatient · +4 other terms	17	$124	$498	$377	76%	—	$64 – $1.1k
19	Highmark fee schedule · outpatient · +4 other terms	16	$305	$348	$313	90%	—	$127 – $3.4k
20	Wellmark fee schedule · both · +4 other terms	14	$246	$247	$3	1%	—	$246 – $265
21	Medica facility · fee schedule · outpatient · +7 other terms	12	$134	$181	$154	85%	—	$104 – $919
22	Aetna Better Health fee schedule · outpatient · +2 other terms	11	$419	$504	$113	22%	—	$419 – $654
23	Bcbs Nj fee schedule · outpatient	11	$289	$287	$36	13%	—	$219 – $306
24	Tricare fee schedule · outpatient · +1 other terms	11	$113	$118	$10	8%	—	$113 – $148
25	Regence fee schedule · outpatient · +3 other terms	10	$146	$146	$4	3%	—	$140 – $156

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