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HCPCS Q4173 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.

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

Temporary Codes

Skin Substitutes and Biologicals

Complexity LevelModerate
Medicaid Fee ScheduleView Medicaid rates for Q4173

National average reimbursement for HCPCS Q4173 by major payers:

bcbs

$285.56

uhc

$382.30

aetna

$376.25

cigna

$371.07

Compare published rates across providers.

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HCPCS Q4173
5 of 25 sample ratesHigher to lower in this preview
  1. Emory University, Emory University Hospital

    Emory University

    GAGeneral Acute Care HospitalNPI 1588640692Tax ID 58-0566256

    $2,848.85Published rate
  2. Hospital Authority Of Jenkins County

    GACritical Access HospitalNPI 1760452098Tax ID 27-3100894

    $695.25Published rate
  3. Christopher Raio

    Mercy Medical Center

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1635088

    $406.25Published rate
  4. Christopher Raio

    Good Samaritan Hosptial Medical Center

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1888924

    $383.25Published rate
  5. Dana Hemstreet

    Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine

    ALFamily Nurse PractitionerNPI 1679845531Tax ID 45-1471722

    $343.51Published rate

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

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HCPCS Q4173 vs. Other Skin Substitutes and Biologicals Codes

The HCPCS Q4173 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 Q4173 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
Q4171-HCPCSLowInterfyl, 1 mg
Q4173-HCPCSModeratePalingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure)
Q4174-HCPCSHighPalingen or promatrx, 0.36 mg per 0.25 cc

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q4173. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the Q4173 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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