HCPCS Q4319
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
Sanograft, per sq cm
Low
$68
Average
$907
Median
$559
High
$4.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
44 payers; the 90th percentile is 17.5× 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 · +9 other terms | 417 | $296 | $1.3k | $2.2k | 172% | — | $48 – $16.6k |
| 2 | Cigna fee schedule · outpatient · +8 other terms | 241 | $2.1k | $4.6k | $5.0k | 109% | — | $119 – $18.2k |
| 3 | Aetna fee schedule · outpatient · +9 other terms | 209 | $146 | $632 | $1.2k | 197% | — | $69 – $8.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 170 | $301 | $849 | $803 | 95% | — | $1 – $4.8k |
| 5 | Humana fee schedule · outpatient · +6 other terms | 167 | $171 | $1.2k | $1.2k | 103% | — | $48 – $2.8k |
| 6 | Molina fee schedule · outpatient · +6 other terms | 54 | $192 | $254 | $395 | 156% | — | $51 – $3.4k |
| 7 | Anthem facility · fee schedule · outpatient · +4 other terms | 51 | $177 | $1.6k | $2.4k | 151% | — | $48 – $10.1k |
| 8 | WellCare fee schedule · outpatient · +5 other terms | 47 | $140 | $352 | $701 | 199% | — | $119 – $2.6k |
| 9 | Caresource fee schedule · outpatient · +3 other terms | 41 | $190 | $672 | $1.1k | 159% | — | $48 – $2.6k |
| 10 | Kaiser fee schedule · outpatient · +4 other terms | 41 | $207 | $287 | $229 | 80% | — | $125 – $1.3k |
← Hospitals reporting HCPCS Q4319 · Snapshot 20261113T090226Z-3ce6c0b8