How much does Medicare pay for HCPCS Q4282?

Medicare allowed an average of $773.66 per service and paid $616.38 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1612.86, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code Q4282?

Cygnus dual, per square centimeter. It was billed 78,519 times to 1,271 Medicare beneficiaries by 58 providers in 2024.

Which specialty bills Q4282 most?

Dermatology, with 17,109 services from 24 clinicians. Next are Nurse Practitioner, Emergency Medicine, Podiatry.

HCPCS Q4282

Cygnus dual, per square centimeter

$773.66Medicare-allowed amount per service, averaged across 78,519 services

Providers submitted

$1612.86

Asking price, not received

Medicare allowed

$773.66

The fee schedule figure

Medicare paid

$616.38

Balance is patient coinsurance

Providers submitted an average of $1612.86 for this code and Medicare allowed $773.66 — 2.1× 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 $616.38 (80%); the rest is the patient’s coinsurance and deductible.

Services: 78,519
Beneficiaries: 1,271
Providers billing it: 58
Total allowed: $60,747,010

What Medicare pays for HCPCS Q4282

Across 78,519 services billed by 58 providers to 1,271 beneficiaries, Medicare allowed an average of $773.66 per service. That is 61.8 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.

This is a drug or supply code rather than a service. The unit is usually a dose or a milligram, so the per-service figure is small by construction and the total is what carries meaning — read it alongside the service count rather than on its own.

Who bills Q4282

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	17,109	646	$713.47	24
Nurse Practitioner	15,888	199	$858.55	10
Emergency Medicine	12,881	62	$711.14	2
Podiatry	11,846	178	$796.69	11
Internal Medicine	10,959	46	$796.95	2
Plastic and Reconstructive Surgery	5,866	41	$754.38	3
Interventional Radiology	2,144	37	$834.45	1
General Practice	1,291	11	$744.14	1
Physician Assistant	313	27	$710.12	2
Otolaryngology	144	11	$832.54	1
Micrographic Dermatologic Surgery	78	13	$649.66	1

Q4282 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
Illinois	12,122	$704.65	$561.43	4
Florida	11,138	$771.56	$614.68	10
Maryland	9,502	$818.86	$652.39	1
West Virginia	8,589	$760.49	$606.30	5
Oklahoma	8,557	$800.12	$637.47	3
Arizona	5,182	$749.18	$596.89	1
California	4,997	$796.14	$634.32	6
Alabama	3,235	$681.30	$542.80	4
South Carolina	2,953	$721.91	$575.18	2
Indiana	2,696	$992.99	$791.12	4
Nebraska	1,702	$985.66	$787.69	2
Connecticut	1,291	$744.14	$592.89	1
Texas	1,192	$885.49	$705.43	1
Nevada	1,036	$705.92	$562.44	1
Ohio	895	$643.07	$512.37	1
Michigan	744	$775.98	$618.26	3
New Jersey	644	$768.18	$612.04	1
Washington	588	$648.03	$516.32	1
Kentucky	534	$836.07	$666.14	2
Georgia	376	$725.17	$577.77	2
Virginia	300	$760.10	$605.61	1
Arkansas	168	$756.41	$602.67	1
North Carolina	78	$649.66	$517.61	1

Related codes

Q4205Membrane graft or membrane wrap$1301.16
Q4271Complete ft, per square centimeter$1655.29
Q4275Esano aca, per square centimeter$2621.95
Q4262Dual layer impax membrane$1135.62
Q4276Orion, per square centimeter$1335.32
Q4238Derm-maxx, per square centimeter$1119.08
Q4236Carepatch, per square centimeter$758.90
Q4277Woundplus membrane or e-graft$1738.38
Q4299Amnicore pro+$2369.06
Q4239Amnio-maxx or amnio-maxx lite$2395.07
Q4278Epieffect, per square centimeter$409.48
Q4221Amniowrap2, per square centimeter$1751.50

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.