Skin Grafts
Clinically Proven Grafts, Priced for the New Reality
Eight size options. Room-temperature storage. Published clinical evidence. Acquisition costs that work at $127.14/cm².
The CMS rule change restructured skin substitute reimbursement overnight. At a flat $127.14 per square centimeter, the economics of wound care have fundamentally shifted — and the products priced for the old system no longer make sense for your practice.
Pare Wound Health offers two complementary placental allografts designed for this new landscape: completeFT and AmnioMax.
completeFT — Tiger BioSciences
Full-Thickness Placental Allograft
HCPCS Code: Q4271 | HCT/P under Section 361 PHS Act
completeFT is a dehydrated, full-thickness placental allograft that preserves the complete three-layer architecture of the placental membrane: amnion, intermediate/spongy layer, and chorion. Most competing products strip one or more layers during processing. completeFT preserves all three, maintaining the complete extracellular matrix (ECM) scaffold.
Published Clinical Evidence
Retrospective case series (International Journal of Tissue Repair, 2025):
184
complex wounds
114
patients
67%
>70% reduction
p<.0001
statistical sig.
This is published, peer-reviewed data — not marketing claims.
Available Sizes
1.5 x 1.5 cm
2.25 cm²
2 x 2 cm
4 cm²
2 x 4 cm
8 cm²
4 x 4 cm
16 cm²
4 x 8 cm
32 cm²
5-year shelf life at room temperature. No cold chain required. Gamma-irradiated for sterility.
AmnioMax — Royal Biologics
Dual-Layer Amniotic Membrane
HCPCS Code: Q4239 | HCT/P under Section 361 PHS Act
AmnioMax is a dual-layered, dehydrated amniotic tissue membrane graft — chorion-free, derived from placental tissue. The dual-layer structure delivers twice the growth factor concentration compared to single-layer products.
2x Growth Factors
- PDGF (Platelet-Derived)
- TGF-beta (Transforming)
- EGF (Epidermal)
- VEGF (Vascular Endothelial)
- FGF (Fibroblast)
Clinical Properties
- Greater tensile strength
- Improved shape manipulation
- Slower resorption in vivo
- Anti-bacterial properties
- Anti-inflammatory, anti-scarring
Standard AmnioMax Sizes
2 x 2 cm
4 cm²
2 x 3 cm
6 cm²
2 x 4 cm
8 cm²
4 x 4 cm
16 cm²
4 x 8 cm
32 cm²
AmnioMax UC (Umbilical Cord)
3 x 6 cm
18 cm²
3 x 8 cm
24 cm²
2+ year shelf life. Room temperature or refrigerated storage. Dehydrated, sterile pouches.
The Size Advantage
Right-size to the wound. Reduce waste.
Apligraf
1
size
Dermagraft
1
size
Pare Wound Health
8
distinct sizes
A 2 cm² wound treated with a 16 cm² graft wastes 87.5% of the product. Under flat-rate reimbursement, that waste comes directly out of your operating margin. Eight size options solve this.
Pricing
Priced for the New Math
Under the old ASP+6% model, the most expensive graft generated the highest reimbursement. That incentive is gone.
The new math is simple: CMS reimburses $127.14/cm² regardless of which product you use. Every dollar saved on acquisition cost is a dollar of margin preserved.
Pare Wound Health's grafts are priced for this reality — not priced for a reimbursement model that no longer exists.
We do not publish acquisition costs in marketing materials, but we will walk you through the product cost vs. CMS fee schedule comparison in a private consultation. The numbers speak clearly.
Schedule a Pricing WalkthroughComparison
How We Compare
| Feature | completeFT | AmnioMax | EpiFix | Apligraf |
|---|---|---|---|---|
| Size options | 5 sizes | 5 + 2 UC | Multiple | 1 size |
| Shelf life | 5 years | 2+ years | Extended | 5 days |
| Storage | Room temp | Room temp | Ambient | Temp-controlled |
| Cold chain | No | No | No | Yes |
| Priced for $127/cm² | Yes | Yes | Premium | Premium |
Coverage
Covered by Medicare
Both completeFT (Q4271) and AmnioMax (Q4239) are fully reimbursable under the 2026 CMS fee schedule at $127.14/cm².
CMS withdrew the restrictive Local Coverage Determinations (LCDs) that were scheduled to take effect in 2026. The payment policy is in effect. Coverage is active. These products are reimbursable.
See how the numbers work at $127.14/cm².
We will compare acquisition costs, walk through the size matrix, and show you the clinical evidence — so you can make an informed decision for your practice.
Schedule a Product Walkthrough