HCPCS Q4289
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.
Original text from hospital filings
Revoshield+ amnio, per sq cm
Low
$0
Average
$4.7k
Median
$5.0k
High
$11.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 9.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms | 10 | $7.8k | $6.0k | $2.9k | 48% | — | $1 – $9.6k |
| 2 | First Health percent of total billed charges · inpatientfrom % of charges · +1 other terms | 9 | $7.8k | $6.5k | $2.7k | 42% | — | $1.8k – $10.3k |
| 3 | UnitedHealthcare percent of total billed charges · inpatientfrom % of charges · +2 other terms | 5 | $6.3k | $5.2k | $2.0k | 38% | — | $1.7k – $7.1k |
| 4 | Aetna percent of total billed charges · outpatientfrom % of charges · +3 other terms | 2 | $972 | $1.5k | $885 | 61% | — | $0 – $2.4k |
| 5 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges · +1 other terms | 2 | $1.1k | $883 | $1.1k | 125% | — | $0 – $2.6k |
| 6 | Cigna percent of total billed charges · inpatientfrom % of charges · +2 other terms | 1 | $8.5k | $8.5k | $1.1k | 12% | — | $7.5k – $9.6k |
| 7 | Molina percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Optum percent of total billed charges · outpatientfrom % of charges | 1 | $11.0k | $11.0k | $1.8k | 16% | — | $8.8k – $13.1k |
← Hospitals reporting HCPCS Q4289 · Snapshot 20261113T090226Z-3ce6c0b8