Natalin skin substitute, 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

Natalin, per square centimeter (add-on, list separately in addition to primary procedure)

Payers reporting HCPCS Q4396

Payer pricing summary

Low

$68

Average

$497

Median

$143

High

$2.9k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +6 other terms	218	$210	$234	$148	63%	—	$51 – $2.9k
2	Aetna facility · fee schedule · outpatient · +6 other terms	68	$141	$2.5k	$3.3k	132%	—	$118 – $8.6k
3	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	44	$3.5k	$3.8k	$1.9k	49%	—	$69 – $7.0k
4	Cigna fee schedule · outpatient · +5 other terms	41	$311	$1.4k	$1.8k	127%	—	$125 – $6.1k
5	Humana fee schedule · outpatient · +5 other terms	40	$127	$135	$14	10%	—	$125 – $171
6	Molina facility · fee schedule · outpatient · +5 other terms	33	$118	$129	$51	39%	—	$65 – $319
7	WellCare fee schedule · outpatient · +4 other terms	29	$143	$142	$10	7%	—	$127 – $158
8	Ambetter fee schedule · outpatient · +2 other terms	27	$234	$254	$36	14%	—	$218 – $351
9	Anthem fee schedule · outpatient · +4 other terms	23	$155	$294	$305	103%	—	$123 – $911
10	Devoted facility · fee schedule · outpatient · +3 other terms	23	$118	$124	$11	9%	—	$118 – $143
11	Kaiser fee schedule · outpatient · +2 other terms	22	$125	$307	$247	80%	—	$125 – $1000
12	Medicare fee schedule · outpatient	18	$125	$125	—	—	—	$125 – $125
13	Caresource facility · fee schedule · outpatient · +2 other terms	14	$212	$180	$42	23%	—	$121 – $238
14	Optum fee schedule · outpatient	14	$125	$173	$117	67%	—	$125 – $459
15	Medical Mutual facility · fee schedule · outpatient · +1 other terms	13	$118	$123	$13	10%	—	$118 – $167
16	Regence fee schedule · outpatient · +2 other terms	9	$146	$145	$3	2%	—	$140 – $150
17	Excellus fee schedule · outpatient · +2 other terms	6	$236	$230	$60	26%	—	$127 – $351
18	Aetna Better Health facility · fee schedule · outpatient	5	$68	$68	$1	1%	—	$68 – $70
19	Highmark fee schedule · outpatient · +3 other terms	5	$155	$179	$57	32%	—	$127 – $279
20	Tricare facility · fee schedule · outpatient	4	$121	$118	$5	4%	—	$109 – $121
21	First Health professional · fee schedule · both · +1 other terms	3	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
22	Oscar facility · fee schedule · outpatient · +1 other terms	3	$182	$182	—	—	—	$182 – $182
23	Bcbs Al facility · case rate · outpatient	2	$125	$125	—	—	—	$125 – $125
24	Bcbs Id fee schedule · outpatient	2	$140	$140	—	—	—	$140 – $140
25	Bcbs Ks fee schedule · outpatient	2	$125	$125	—	—	—	$125 – $125

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