Simplimax collagen wound matrix 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

Simplimax, per sq cm

Payers reporting HCPCS Q4341

Payer pricing summary

Low

Average

$1.3k

Median

$480

High

$6.5k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +9 other terms	390	$273	$2.3k	$3.6k	160%	—	$48 – $22.1k
2	Cigna fee schedule · outpatient · +7 other terms	201	$4.1k	$7.5k	$7.6k	102%	—	$119 – $26.3k
3	Aetna fee schedule · outpatient · +8 other terms	170	$132	$1.1k	$3.0k	275%	—	$69 – $14.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	137	$121	$160	$675	421%	—	$1 – $5.3k
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	42	$136	$138	$14	10%	—	$119 – $171
8	Anthem facility · fee schedule · outpatient · +5 other terms	34	$186	$2.0k	$2.9k	148%	—	$48 – $12.7k
9	Caresource fee schedule · outpatient · +3 other terms	32	$135	$615	$1.4k	229%	—	$48 – $5.2k
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	$443	$971	219%	—	$125 – $6.3k
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	$340	$468	138%	—	$193 – $2.9k
14	Bcbs Tx fee schedule · outpatient	30	$8	$8	$3	31%	—	$6 – $30
15	Oscar facility · fee schedule · outpatient · +1 other terms	19	$234	$1.3k	$1.6k	130%	—	$175 – $3.8k
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	$4.8k	$4.5k	94%	—	$64 – $13.1k
18	Highmark fee schedule · outpatient · +4 other terms	16	$3.3k	$3.1k	$789	26%	—	$127 – $3.9k
19	Wellmark fee schedule · both · +1 other terms	14	$3.5k	$3.5k	$73	2%	—	$3.1k – $3.5k
20	Bcbs Nj fee schedule · outpatient	11	$3.1k	$3.1k	$301	10%	—	$2.9k – $3.7k
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 · +2 other terms	5	$120	$125	$9	7%	—	$120 – $140

Page 1 of 2 · 45 payers