HCPCS Q4291
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
Lamellas xt, per sq cm
Low
$1
Average
$632
Median
$171
High
$5.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
41 payers; the 90th percentile is 13.6× 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 | UnitedHealthcare fee schedule · outpatient · +5 other terms | 383 | $296 | $2.3k | $3.5k | 157% | — | $48 – $21.8k |
| 2 | Cigna fee schedule · outpatient · +5 other terms | 209 | $2.8k | $6.7k | $7.3k | 109% | — | $119 – $25.4k |
| 3 | Aetna fee schedule · outpatient · +5 other terms | 179 | $144 | $1.2k | $2.7k | 236% | — | $69 – $13.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 128 | $120 | $72 | $126 | 174% | — | $1 – $1.4k |
| 5 | Humana fee schedule · outpatient · +3 other terms | 74 | $125 | $128 | $17 | 13% | — | $48 – $171 |
| 6 | Molina fee schedule · outpatient · +2 other terms | 49 | $192 | $260 | $406 | 156% | — | $51 – $3.4k |
| 7 | WellCare fee schedule · outpatient · +2 other terms | 43 | $136 | $139 | $14 | 10% | — | $119 – $171 |
| 8 | Anthem facility · fee schedule · outpatient · +3 other terms | 33 | $118 | $151 | $92 | 61% | — | $48 – $349 |
| 9 | Devoted fee schedule · outpatient · +2 other terms | 32 | $125 | $124 | $7 | 6% | — | $116 – $136 |
| 10 | Kaiser fee schedule · outpatient · +2 other terms | 32 | $207 | $351 | $430 | 123% | — | $125 – $2.7k |
← Hospitals reporting HCPCS Q4291 · Snapshot 20261113T090226Z-3ce6c0b8