Theramend wound dressing, 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

Theramend, per sq cm

Payers reporting HCPCS Q4342

Payer pricing summary

Low

Average

$1.1k

Median

$339

High

$4.9k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +9 other terms	388	$273	$2.5k	$4.3k	169%	—	$48 – $26.5k
2	Aetna fee schedule · outpatient · +8 other terms	168	$132	$779	$2.1k	264%	—	$69 – $10.3k
3	Cigna fee schedule · outpatient · +5 other terms	148	$2.6k	$5.6k	$5.7k	102%	—	$119 – $18.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	134	$121	$135	$511	379%	—	$1 – $3.8k
5	Humana fee schedule · outpatient · +6 other terms	80	$125	$130	$18	14%	—	$48 – $171
6	Molina fee schedule · outpatient · +6 other terms	52	$192	$252	$398	158%	—	$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	$1.3k	$1.9k	139%	—	$48 – $8.2k
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	31	$247	$311	$312	100%	—	$193 – $2.0k
12	Caresource fee schedule · outpatient · +3 other terms	31	$136	$460	$974	212%	—	$48 – $3.6k
13	Bcbs Tx fee schedule · outpatient	30	$8	$8	$3	31%	—	$6 – $30
14	Kaiser fee schedule · outpatient · +4 other terms	30	$207	$287	$210	73%	—	$125 – $1000
15	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
16	Medical Mutual facility · fee schedule · outpatient · +2 other terms	17	$142	$3.3k	$3.1k	93%	—	$64 – $9.1k
17	Wellmark fee schedule · both · +1 other terms	14	$3.5k	$3.5k	$220	6%	—	$2.1k – $3.5k
18	Bcbs Nj fee schedule · outpatient	11	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
19	Oscar facility · fee schedule · outpatient · +1 other terms	11	$1.4k	$1.2k	$1.2k	100%	—	$175 – $2.6k
20	Regence fee schedule · outpatient · +2 other terms	10	$146	$146	$4	3%	—	$140 – $156
21	Tricare fee schedule · outpatient · +1 other terms	10	$113	$115	$4	3%	—	$113 – $121
22	Excellus fee schedule · outpatient · +2 other terms	6	$236	$230	$60	26%	—	$127 – $351
23	Highmark fee schedule · outpatient · +3 other terms	6	$176	$1.2k	$1.1k	97%	—	$127 – $3.4k
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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