Epixpress skin graft material 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

Epixpress, per sq cm

Payers reporting HCPCS Q4361

Payer pricing summary

Low

$68

Average

$804

Median

$414

High

$3.7k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +8 other terms	309	$210	$781	$1.7k	219%	—	$51 – $11.3k
2	Cigna fee schedule · outpatient · +6 other terms	169	$2.5k	$4.1k	$4.0k	100%	—	$119 – $13.6k
3	Aetna fee schedule · outpatient · +8 other terms	160	$132	$673	$1.6k	239%	—	$69 – $7.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	132	$232	$1.5k	$1.1k	73%	—	$1 – $3.7k
5	Humana fee schedule · outpatient · +6 other terms	79	$125	$131	$16	12%	—	$116 – $171
6	Molina fee schedule · outpatient · +6 other terms	49	$192	$255	$404	159%	—	$91 – $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	33	$186	$1.3k	$1.7k	137%	—	$48 – $7.6k
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	$295	$223	76%	—	$193 – $1.5k
12	Caresource fee schedule · outpatient · +3 other terms	29	$156	$391	$742	190%	—	$51 – $2.7k
13	Kaiser fee schedule · outpatient · +4 other terms	28	$207	$285	$214	75%	—	$125 – $1000
14	Medicare fee schedule · outpatient · +1 other terms	18	$125	$125	—	—	—	$125 – $125
15	Medical Mutual facility · fee schedule · outpatient · +2 other terms	17	$142	$2.5k	$2.3k	91%	—	$64 – $6.8k
16	Highmark fee schedule · outpatient · +4 other terms	16	$1.7k	$1.6k	$413	26%	—	$127 – $3.4k
17	Wellmark fee schedule · both · +1 other terms	14	$1.5k	$1.5k	$14	1%	—	$1.5k – $1.6k
18	Oscar facility · fee schedule · outpatient · +1 other terms	11	$1.1k	$933	$886	95%	—	$175 – $2.0k
19	Regence fee schedule · outpatient · +4 other terms	10	$146	$146	$4	3%	—	$140 – $156
20	Tricare fee schedule · outpatient · +1 other terms	10	$113	$115	$4	3%	—	$113 – $121
21	Bcbs Mn fee schedule · both · +1 other terms	8	$1.5k	$1.5k	$14	1%	—	$1.5k – $1.6k
22	Excellus fee schedule · outpatient · +2 other terms	6	$236	$230	$60	26%	—	$127 – $351
23	Aetna Better Health facility · fee schedule · outpatient	5	$68	$68	$1	1%	—	$68 – $70
24	Clover fee schedule · outpatient · +1 other terms	5	$120	$125	$9	7%	—	$120 – $140
25	First Health professional · fee schedule · both · +1 other terms	3	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k

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