Cost analysis for CPT Q4253 — Zenith amniotic membrane, per square centimeter
Average Medicare Payment
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Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 1.7x more than the cheapest for this procedure. MI averages $744.36 vs IL at $439.81.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| MI | $744.36 | $1.1M | 1.4K | 1 |
| AZ | $744.01 | $11.3M | 15.2K | 4 |
| NY | $729.10 | $5.7M | 7.8K | 2 |
| NJ | $725.46 | $1.2M | 1.7K | 1 |
| FL | $720.72 | $22.8M | 31.6K | 18 |
| NV | $687.13 | $20.0M | 29.1K | 7 |
| LA | $685.29 | $4.5M | 6.6K | 4 |
| CA | $665.39 | $13.8M | 20.8K | 6 |
| GA | $662.72 | $2.7M | 4.1K | 3 |
| TX | $652.61 | $9.1M | 13.9K | 8 |
| WA | $624.80 | $1.1M | 1.8K | 2 |
| WV | $621.14 | $4.9M | 7.9K | 2 |
| TN | $582.88 | $2.0M | 3.4K | 1 |
| OH | $571.63 | $3.8M | 6.7K | 4 |
| CO | $524.06 | $27.7M | 52.9K | 8 |
| IL | $439.81 | $1.1M | 2.5K | 2 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Shahid Javery | Internal Medicine | CO | $11.0M | 22.9K | $482.00 |
| Stephen Dubin | General Practice | NV | $9.3M | 10.9K | $851.15 |
| Marizel Yukee | Nurse Practitioner | NV | $7.1M | 13.3K | $531.64 |
| Kirk Mitchell | Family Practice | CO | $6.4M | 9.4K | $683.48 |
| Bethany Jameson | Nurse Practitioner | AZ | $6.1M | 8.2K | $744.28 |
| Nosheen Khan | Podiatry | NY | $4.7M | 6.3K | $744.79 |
| Ryan Wolf | Physician Assistant | CO | $4.6M | 10.4K | $443.78 |
| Johnson Lee | Plastic and Reconstructive Surgery | CA | $4.5M | 6.1K | $740.62 |
| James Michail | Geriatric Medicine | CA | $4.1M | 5.5K | $741.70 |
| Kacian Brown | Family Practice | FL | $4.1M | 5.7K | $714.96 |
| Flor Fimbres | Nurse Practitioner | AZ | $3.8M | 5.1K | $743.29 |
| Neil Sandhu | Dermatology | FL | $3.5M | 4.8K | $734.84 |
| John Croker | Nurse Practitioner | FL | $3.4M | 4.4K | $764.36 |
| Joseph Palumbo | General Practice | WV | $3.1M | 4.2K | $744.80 |
| Owen Ellington | Internal Medicine | TX | $3.1M | 4.3K | $726.88 |
| Robert Johnson | Nurse Practitioner | FL | $2.4M | 3.2K | $755.33 |
| Raymond Wawrowski | Physician Assistant | OH | $2.4M | 4.2K | $570.85 |
| Babak Baharloo | Podiatry | TX | $2.4M | 4.8K | $484.76 |
| Courtney Pendergraft | Nurse Practitioner | TN | $2.0M | 3.4K | $582.88 |
| Elizabeth Chen | Physician Assistant | CO | $1.9M | 4.1K | $463.61 |
Based on the data, CPT Q4253 shows a 1.7x variation in pricing across states — moderate variation by Medicare standards.
Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.