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HCPCS Q4170 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.

Cygnus, per square centimeter (add-on, list separately in addition to primary procedure)
Key FactDetail
Service Type

Temporary Codes

Skin Substitutes and Biologicals

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for Q4170

National average reimbursement for HCPCS Q4170 by major payers:

bcbs

$68.43

uhc

$153.57

aetna

$144.07

cigna

$148.93

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS Q4170.

HCPCS Q4170
5 of 25 sample ratesHigher to lower in this preview
  1. Scottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite

    Childrens Healthcare Of Atlanta Inc

    GAChildren's HospitalNPI 1922178789Tax ID 58-0572465

    $1,712.38Published rate
  2. Dana Hemstreet

    Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine

    ALFamily Nurse PractitionerNPI 1679845531Tax ID 45-1471722

    $131.94Published rate
  3. Phoenix Vamc

    AZPsychiatric Residential Treatment FacilityNPI 1104286418Tax ID 86-0101019

    $56.90Published rate
  4. Christopher Raio

    Good Samaritan Hosptial Medical Center

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1888924

    $48.93Published rate
  5. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $46.16Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS Q4170 vs. Other Skin Substitutes and Biologicals Codes

The HCPCS Q4170 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 Q4170 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.

CodeComplexityDescription
Q4169-HCPCSLowArtacent wound, per square centimeter (add-on, list separately in addition to primary procedure)
Q4170-HCPCSLowCygnus, per square centimeter (add-on, list separately in addition to primary procedure)
Q4171-HCPCSLowInterfyl, 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 Q4170. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the Q4170 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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