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HCPCS Q4177 Fee Schedule

Last Verified: January 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.

Floweramnioflo, 0.1 cc
Key FactDetail
Service Type

Temporary Codes

Skin Substitutes and Biologicals

Complexity LevelLow

National average reimbursement for HCPCS Q4177 by major payers:

bcbs

$122.05

uhc

$187.88

aetna

$153.30

cigna

$153.89

Preview provider-level rates for...
For billing codeHCPCS Q4177
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS Q4177

United
Q4177$185.391760452098 - HOSPITAL AUTHORITY OF JENKINS COUNTY581158547 - (GA) HOSPITAL AUTHORITY OF JENKINS COUNTY DBA JENKINS COUNTY MEDICAL CENTERGACritical Access Hospital (282NC0060X)
United
Q4177$153.001073502985 - CHU CHEN42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.MAPediatrics Physician (208000000X)
United
Q4177$407.881073502985 - CHU CHEN42484572 - (MA) MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.MAPediatrics Physician (208000000X)
United
Q4177$185.391033168257 - DUBLIN VAMC582080668 - (GA) DUBLIN VAMCGAGeneral Acute Care Hospital (282N00000X)
United
Q4177$407.881073502985 - CHU CHEN42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.MAPediatrics Physician (208000000X)
United
Q4177$185.391548859895 - ALICIA ENCINAS300394179 - (AZ) MIGUEL A ARENAS MD PCCAFamily Nurse Practitioner (363LF0000X)
United
Q4177$185.391952776023 - KRISTINA JIMENEZ300394179 - (AZ) MIGUEL A ARENAS MD PCAZFamily Nurse Practitioner (363LF0000X)
United
Q4177$407.881073502985 - CHU CHEN42484572MAPediatrics Physician (208000000X)
United
Q4177$180.001922178789 - SCOTTISH RITE CHILDRENS MEDICAL CTR, CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE580572465 - CHILDRENS HEALTHCARE OF ATLANTA INCGAChildren's Hospital (282NC2000X)
United
Q4177$185.391225339898 - SCREVEN COUNTY HOSPITAL, LLC, OPTIM MEDICAL CENTER - SCREVEN273100946GACritical Access Hospital (282NC0060X)
United
Q4177$185.391194489104 - IRENE ALFORD843505937 - (TX) ATTIGO INFUSION INCTXFamily Nurse Practitioner (363LF0000X)
United
Q4177$288.081255891958 - PIEDMONT NEWTON EKG BILLING LLC814475074 - (GA) PIEDMONT NEWTON HOSPITAL INCGAGeneral Acute Care Hospital (282N00000X)
United
Q4177$185.391720189517 - TAYLOR REGIONAL HOSPITAL580655369 - (GA) TAYLOR REGIONAL HOSPITALGARural Acute Care Hospital (282NR1301X)
United
Q4177$450.001164493847 - FRED HUTCHINSON CANCER CENTER911935159 - (WA) FRED HUTCHINSON CANCER CENTERWAGeneral Acute Care Hospital (282N00000X)
United
Q4177$185.391205890076 - APRIL LEUZINGER271495988 - (NM) AZTEC URGENT CARE LLCCOPhysician Assistant (363A00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS Q4177 vs. Other Skin Substitutes and Biologicals Codes

The HCPCS Q4177 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 Q4177 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
Q4176-HCPCSLowNeopatch or therion, per square centimeter
Q4177-HCPCSLowFloweramnioflo, 0.1 cc
Q4178-HCPCSLowFloweramniopatch, per square centimeter

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q4177. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the Q4177 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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