Reeva FT 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

Reeva, per sq cm

Payers reporting HCPCS Q4314

Payer pricing summary

Low

Average

$1.1k

Median

$299

High

$11.4k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +8 other terms	337	$210	$1.1k	$2.1k	184%	—	$48 – $13.7k
2	Cigna fee schedule · outpatient · +6 other terms	152	$2.7k	$5.0k	$4.9k	99%	—	$119 – $16.0k
3	Aetna fee schedule · outpatient · +7 other terms	141	$131	$275	$853	310%	—	$69 – $6.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	128	$232	$9.6k	$7.4k	78%	—	$1 – $24.5k
5	Humana fee schedule · outpatient · +6 other terms	76	$125	$129	$17	13%	—	$48 – $171
6	WellCare fee schedule · outpatient · +5 other terms	41	$136	$138	$14	10%	—	$119 – $171
7	Molina fee schedule · outpatient · +6 other terms	40	$191	$272	$442	163%	—	$51 – $3.4k
8	Anthem facility · fee schedule · outpatient · +4 other terms	34	$118	$999	$2.2k	221%	—	$48 – $8.4k
9	Devoted fee schedule · outpatient · +3 other terms	32	$125	$124	$7	6%	—	$116 – $136
10	Optum fee schedule · outpatient · +2 other terms	32	$125	$173	$91	53%	—	$113 – $459
11	Ambetter fee schedule · outpatient · +3 other terms	30	$240	$255	$38	15%	—	$193 – $351
12	Bcbs Tx fee schedule · outpatient	30	$11.0k	$11.4k	$3.6k	31%	—	$8.4k – $41.6k
13	Kaiser fee schedule · outpatient · +4 other terms	28	$207	$285	$214	75%	—	$125 – $1000
14	Caresource fee schedule · outpatient · +3 other terms	24	$100	$102	$64	63%	—	$48 – $199
15	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
16	Highmark fee schedule · outpatient · +4 other terms	16	$2.1k	$1.9k	$480	25%	—	$127 – $3.4k
17	Medical Mutual facility · fee schedule · outpatient · +1 other terms	13	$118	$123	$13	10%	—	$118 – $167
18	Wellmark fee schedule · both · +1 other terms	13	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
19	Bcbs Nj fee schedule · outpatient	11	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
20	Oscar facility · fee schedule · outpatient · +1 other terms	11	$175	$177	$3	2%	—	$175 – $182
21	Regence fee schedule · outpatient · +2 other terms	10	$146	$146	$4	3%	—	$140 – $156
22	Tricare fee schedule · outpatient · +1 other terms	10	$113	$115	$4	3%	—	$113 – $121
23	Excellus fee schedule · outpatient · +2 other terms	6	$236	$230	$60	26%	—	$127 – $351
24	Aetna Better Health facility · fee schedule · outpatient	5	$68	$68	$1	1%	—	$68 – $70
25	Clover fee schedule · outpatient · +1 other terms	5	$120	$125	$9	7%	—	$120 – $140

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