How much does Medicare pay for HCPCS Q4049?

Medicare allowed an average of $2.51 per service and paid $1.91 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $27.07, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code Q4049?

Finger splint, static. It was billed 1,950 times to 1,432 Medicare beneficiaries by 68 providers in 2024.

Which specialty bills Q4049 most?

Hand Surgery, with 1,205 services from 33 clinicians. Next are Orthopedic Surgery, Physician Assistant, Plastic and Reconstructive Surgery.

HCPCS Q4049

Finger splint, static

$2.51Medicare-allowed amount per service, averaged across 1,950 services

Providers submitted

$27.07

Asking price, not received

Medicare allowed

$2.51

The fee schedule figure

Medicare paid

$1.91

Balance is patient coinsurance

Providers submitted an average of $27.07 for this code and Medicare allowed $2.51 — 10.8× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $1.91 (76%); the rest is the patient’s coinsurance and deductible.

Services: 1,950
Beneficiaries: 1,432
Providers billing it: 68
Total allowed: $4,895

What Medicare pays for HCPCS Q4049

Across 1,950 services billed by 68 providers to 1,432 beneficiaries, Medicare allowed an average of $2.51 per service. That is 1.4 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills Q4049

Specialty	Services	Beneficiaries	Avg allowed	Providers
Hand Surgery	1,205	887	$2.51	33
Orthopedic Surgery	466	305	$2.52	18
Physician Assistant	63	61	$2.50	5
Plastic and Reconstructive Surgery	57	41	$2.53	3
Family Practice	52	51	$2.54	4
General Surgery	45	31	$2.53	1
Nurse Practitioner	36	32	$2.46	2
Occupational Therapist in Private Practice	15	13	$2.53	1
Internal Medicine	11	11	$2.53	1

Q4049 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	381	$2.53	$2.00	6
Texas	283	$2.53	$1.90	9
California	235	$2.51	$1.93	7
Michigan	144	$2.50	$1.98	3
Hawaii	131	$2.46	$1.97	1
Indiana	86	$2.48	$1.98	3
Pennsylvania	81	$2.53	$1.87	5
Nevada	73	$2.50	$1.89	2
Kentucky	69	$2.53	$1.90	2
Virginia	63	$2.53	$1.79	5
Arizona	59	$2.53	$1.92	3
New York	57	$2.44	$2.04	3
Maryland	52	$2.49	$1.80	4
Kansas	38	$2.53	$1.86	2
New Jersey	36	$2.48	$1.92	2
Oklahoma	26	$2.34	$1.98	2
District of Columbia	24	$2.54	$1.42	1
Louisiana	17	$2.53	$2.02	1
Tennessee	16	$2.41	$1.93	1
Wisconsin	15	$2.53	$2.02	1
Massachusetts	14	$2.53	$1.88	1
Illinois	13	$2.53	$2.02	1
Alabama	13	$2.53	$2.02	1
Nebraska	13	$2.53	$1.86	1
New Mexico	11	$2.54	$1.65	1

Related codes

Q4010Cast supplies$23.01
Q4038Cast supplies$47.92
Q4022Cast supplies$14.44
Q4037Cast supplies$19.43
Q4046Cast supplies$21.80
Q4021Cast supplies$8.05
Q4014Cast supplies$31.42

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.