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.
Original text from hospital filings
Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure)
Low
$118
Average
$152
Median
$144
High
$203
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 1.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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8 hospital rates
iThe hospitals that file a Highmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 2 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 3 | Highland Hospital Rochester, NY fee schedule · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 4 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 5 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 3 | $204 | $196 | $53 | 27% | — | $127 – $257 |
| 6 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $203 | $203 | $76 | 37% | — | $127 – $279 |
| 7 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 8 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
← Payers reporting HCPCS Q4406 · Snapshot 20261113T090226Z-3ce6c0b8