Axolotl 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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Axolotl graft, per sq cm

Payers reporting HCPCS Q4331

Payer pricing summary

Low

$91

Average

$768

Median

$425

High

$3.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +9 other terms	406	$296	$1.5k	$2.1k	137%	—	$48 – $12.7k
2	Cigna fee schedule · outpatient · +7 other terms	231	$2.4k	$4.0k	$3.8k	94%	—	$119 – $14.0k
3	Aetna fee schedule · outpatient · +9 other terms	204	$145	$1.0k	$2.2k	210%	—	$69 – $17.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	144	$237	$1.6k	$1.2k	75%	—	$1 – $4.2k
5	Humana fee schedule · outpatient · +6 other terms	80	$125	$130	$18	14%	—	$48 – $171
6	Molina fee schedule · outpatient · +6 other terms	54	$192	$251	$393	157%	—	$51 – $3.4k
7	WellCare fee schedule · outpatient · +5 other terms	43	$136	$139	$14	10%	—	$119 – $171
8	Anthem facility · fee schedule · outpatient · +5 other terms	34	$186	$1.0k	$1.3k	130%	—	$48 – $5.7k
9	Caresource fee schedule · outpatient · +3 other terms	32	$135	$341	$708	208%	—	$48 – $2.8k
10	Devoted fee schedule · outpatient · +3 other terms	32	$125	$124	$7	6%	—	$116 – $136
11	Kaiser fee schedule · outpatient · +4 other terms	32	$207	$375	$566	151%	—	$125 – $3.6k
12	Optum fee schedule · outpatient · +2 other terms	32	$125	$173	$91	53%	—	$113 – $459
13	Ambetter fee schedule · outpatient · +3 other terms	31	$247	$296	$231	78%	—	$193 – $1.5k
14	Bcbs Tx fee schedule · outpatient	30	$1.9k	$2.0k	$614	31%	—	$1.5k – $7.2k
15	Oscar facility · fee schedule · outpatient · +1 other terms	19	$234	$739	$838	113%	—	$175 – $2.0k
16	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
17	Medical Mutual facility · fee schedule · outpatient · +2 other terms	17	$142	$2.6k	$2.4k	91%	—	$64 – $7.0k
18	Highmark fee schedule · outpatient · +4 other terms	16	$1.9k	$1.8k	$445	25%	—	$127 – $3.4k
19	Wellmark fee schedule · both · +1 other terms	14	$933	$948	$114	12%	—	$806 – $1.6k
20	Bcbs Nj fee schedule · outpatient	11	$1.2k	$1.2k	$242	20%	—	$1.1k – $1.6k
21	Tricare fee schedule · outpatient · +1 other terms	11	$113	$118	$10	8%	—	$113 – $148
22	Regence fee schedule · outpatient · +2 other terms	10	$146	$146	$4	3%	—	$140 – $156
23	Medica fee schedule · both · +3 other terms	9	$1.8k	$1.8k	$16	1%	—	$1.8k – $1.8k
24	Clover facility · fee schedule · outpatient · +2 other terms	8	$123	$123	$6	5%	—	$117 – $134
25	Excellus fee schedule · outpatient · +2 other terms	6	$236	$230	$60	26%	—	$127 – $351

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