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
DERMASPAN 4X7 THICK (IMPLANT QTY 28) - 48-2000407
Utica, NY
See all hospitals reporting HCPCS Q4126 →Price type
MVHS, Inc.’s median price of $263 is 89% above the median hospital's median price ($139), higher than 77% of the 1,135 hospitals reporting HCPCS Q4126. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 8 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 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $154 | $154 | — | — | — | $154 – $154 |
| 2 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $230 | $230 | — | — | — | $230 – $230 |
| 3 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $263 | $263 | — | — | — | $263 – $263 |
| 4 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $263 | $263 | — | — | — | $263 – $263 |
| 5 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $263 | $263 | — | — | — | $263 – $263 |
| 6 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $263 | $263 | — | — | — | $263 – $263 |
| 7 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $282 | $282 | — | — | — | $282 – $282 |
| 8 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $290 | $290 | — | — | — | $290 – $290 |
Last updated: Aug 7, 2026
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