Abiomend xplus collagen membrane, 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

Abio xpl abio xpl hy p sq cm

Payers reporting HCPCS Q4355

Payer pricing summary

Low

$91

Average

$788

Median

$259

High

$6.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +8 other terms	302	$210	$1.4k	$3.5k	247%	—	$51 – $22.5k
2	Cigna fee schedule · outpatient · +6 other terms	152	$4.1k	$8.0k	$8.1k	101%	—	$119 – $26.2k
3	Aetna fee schedule · outpatient · +7 other terms	141	$131	$304	$1.0k	343%	—	$69 – $8.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	127	$204	$208	$83	40%	—	$1 – $431
5	Humana fee schedule · outpatient · +6 other terms	75	$125	$130	$15	12%	—	$116 – $171
6	WellCare fee schedule · outpatient · +5 other terms	41	$136	$138	$14	10%	—	$119 – $171
7	Molina fee schedule · outpatient · +6 other terms	39	$192	$275	$444	162%	—	$118 – $3.4k
8	Devoted fee schedule · outpatient · +3 other terms	32	$125	$124	$7	6%	—	$116 – $136
9	Optum fee schedule · outpatient · +2 other terms	32	$125	$173	$91	53%	—	$113 – $459
10	Ambetter fee schedule · outpatient · +3 other terms	30	$240	$255	$38	15%	—	$193 – $351
11	Kaiser fee schedule · outpatient · +4 other terms	28	$207	$285	$214	75%	—	$125 – $1000
12	Anthem facility · fee schedule · outpatient · +4 other terms	25	$127	$1.4k	$2.9k	204%	—	$48 – $10.2k
13	Caresource fee schedule · outpatient · +3 other terms	22	$100	$107	$65	60%	—	$51 – $199
14	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
15	Highmark fee schedule · outpatient · +4 other terms	16	$3.4k	$3.1k	$807	26%	—	$127 – $3.4k
16	Medical Mutual facility · fee schedule · outpatient · +1 other terms	13	$118	$123	$13	10%	—	$118 – $167
17	Oscar facility · fee schedule · outpatient · +1 other terms	11	$175	$177	$3	2%	—	$175 – $182
18	Regence fee schedule · outpatient · +4 other terms	10	$146	$146	$4	3%	—	$140 – $156
19	Tricare fee schedule · outpatient · +1 other terms	10	$113	$115	$4	3%	—	$113 – $121
20	Excellus fee schedule · outpatient · +2 other terms	6	$236	$230	$60	26%	—	$127 – $351
21	Aetna Better Health facility · fee schedule · outpatient · +1 other terms	5	$68	$68	$1	1%	—	$68 – $70
22	Clover fee schedule · outpatient · +1 other terms	5	$120	$125	$9	7%	—	$120 – $140
23	First Health professional · fee schedule · both · +1 other terms	3	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k
24	Bcbs Al facility · case rate · outpatient	2	$125	$125	—	—	—	$125 – $125
25	Bcbs Id fee schedule · outpatient	2	$140	$140	—	—	—	$140 – $140

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