Q4204HCPCS Level IISave

Q4204 - Xwrap, per square centimeter

HCPCS Level II section: HCPCS Q: Temporary Codes

Medicare Physician Fee Schedule

Facility

Medicare Payment

$2,121.39

Submitted Charge$2,742.98
Medicare Allowed$2,662.60
Providers26
Beneficiaries38
Total Services1,555
Office

Medicare Payment

$2,240.33

Submitted Charge$3,014.94
Medicare Allowed$2,811.86
Providers316
Beneficiaries895
Total Services56,892

Source: CMS Medicare Physician & Other Practitioners public use file (national averages). Amounts are averages across providers, not a fee schedule lookup for a specific locality.