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See a sample rate comparisonHCPCS Q4206 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Fluid flow or fluid GF, 1 cc
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Skin Substitutes and Biologicals |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for Q4206 |
National average reimbursement for HCPCS Q4206 by major payers:
$2,160.11
$2,128.06
$2,442.05
$49.63
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HCPCS Q4206
5 of 25 sample ratesHigher to lower in this preview
Piedmont Walton Hospital Inc
$7,007.43Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$2,448.00Published rateClare Roewe
Ivxpress, Inc. Dba Ivx Health
$2,060.00Published rateMarc Stiefel
Pinnacle Ent Alliance, LLC
$2,060.00Published rateDevon Daney
Aztec Urgent Care LLC
$2,060.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS Q4206 vs. Other Skin Substitutes and Biologicals Codes
The HCPCS Q4206 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 Q4206 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 |
|---|---|---|
| Q4205-HCPCS | High | Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) |
| Q4206-HCPCS | High | Fluid flow or fluid GF, 1 cc |
| Q4208-HCPCS | Moderate | Novafix, per square centimeter (add-on, list separately in addition to primary procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q4206. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4206 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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