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
MATRIX WND EXCELLAGEN 0.8CC/8CC
Arlington, TX
See all hospitals reporting HCPCS Q4149 →Price type
AMH Cath Labs LLC’s median price of $279 is 26% above the median hospital's median price ($222), higher than 57% of the 799 hospitals reporting HCPCS Q4149. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $48 | $48 | $13 | 28% | — | $35 – $62 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $48 | $48 | $13 | 28% | — | $35 – $62 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $51 | $51 | $14 | 28% | — | $36 – $65 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $52 | $52 | $15 | 28% | — | $37 – $66 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $53 | $53 | $15 | 28% | — | $38 – $68 |
| 6 | Blue Cross Blue Shield hmo fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 7 | Blue Cross Blue Shield exchange fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 8 | Blue Cross Blue Shield ppo fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 9 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $187 | $187 | $52 | 28% | — | $135 – $239 |
| 10 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $222 | $222 | $62 | 28% | — | $160 – $284 |
| 11 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $249 | $249 | $70 | 28% | — | $180 – $319 |
| 12 | Blue Cross Blue Shield traditional fee schedule · outpatient | $279 | $279 | — | — | — | $279 – $279 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $280 | $280 | $78 | 28% | — | $201 – $358 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $296 | $296 | $83 | 28% | — | $213 – $379 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $296 | $296 | $83 | 28% | — | $213 – $379 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $299 | $299 | $84 | 28% | — | $215 – $382 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $376 | $376 | $105 | 28% | — | $271 – $481 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $377 | $377 | $105 | 28% | — | $271 – $482 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $379 | $379 | $106 | 28% | — | $273 – $485 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $379 | $379 | $106 | 28% | — | $273 – $485 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $403 | $403 | $113 | 28% | — | $290 – $515 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $470 | $470 | $132 | 28% | — | $339 – $602 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $470 | $470 | $132 | 28% | — | $339 – $602 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $509 | $509 | $142 | 28% | — | $367 – $651 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $509 | $509 | $142 | 28% | — | $367 – $651 |
Last updated: Apr 21, 2026
See Excellagen wound care gel, per 0.1 cc pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.