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See a sample rate comparisonHCPCS Q4294 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.
Amnio quad-core, 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 | High |
| Medicaid Fee Schedule | View Medicaid rates for Q4294 |
National average reimbursement for HCPCS Q4294 by major payers:
$1,174.96
$2,793.21
$N/A
$3,742.04
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HCPCS Q4294
5 of 25 sample ratesHigher to lower in this preview
Christine Reese
$3,190.60Published rateMichael Gunter
Michael J Gunter Ltd
$2,850.62Published rateKaryn Ofa
$2,734.80Published rateAndrew Wesely
Ali Nairizi Md PC
$2,279.00Published rateGhaila Keng
Musc Community Physicians
$2,051.10Published rate
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See a sample payer proposalHCPCS Q4294 vs. Other Skin Substitutes and Biologicals Codes
The HCPCS Q4294 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 Q4294 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 |
|---|---|---|
| Q4294-HCPCS | High | Amnio quad-core, 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 Q4294. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4294 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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