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See a sample rate comparisonHCPCS Q4154 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Biovance, per square centimeter (add-on, list separately in addition to primary procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Skin Substitutes and Biologicals |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q4154 |
National average reimbursement for HCPCS Q4154 by major payers:
$148.33
$166.54
$180.33
$166.87
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HCPCS Q4154
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$326.61Published rateJeremy Kelley
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$151.13Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$148.46Published rateThe Hospital Authority Of Habersham County
$144.36Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$132.92Published rate
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See a sample payer proposalHCPCS Q4154 vs. Other Skin Substitutes and Biologicals Codes
The HCPCS Q4154 code is part of the Temporary Codes services used for Skin Substitutes and Biologicals. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q4154 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| Q4153-HCPCS | Low | Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure) |
| Q4154-HCPCS | Low | Biovance, per square centimeter (add-on, list separately in addition to primary procedure) |
| Q4155-HCPCS | Low | NeoxFlo or clarixFlo, 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q4154. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4154 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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