Cost analysis for CPT Q4262 — Dual layer impax 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 1.4x more than the cheapest for this procedure. DC averages $1071.00 vs OR at $788.96.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $1071.00 | $9.3M | 8.7K | 2 |
| NY | $1058.40 | $649.9K | 614 | 1 |
| WV | $1057.31 | $1.2M | 1.1K | 1 |
| UT | $1056.83 | $2.2M | 2.1K | 3 |
| GA | $1048.75 | $169.9K | 162 | 1 |
| OK | $1041.99 | $3.3M | 3.2K | 2 |
| CA | $1028.21 | $22.5M | 21.9K | 6 |
| ID | $1018.64 | $1.4M | 1.4K | 1 |
| TX | $1014.34 | $74.2M | 73.2K | 30 |
| FL | $999.52 | $62.2M | 62.2K | 36 |
| LA | $999.34 | $15.9M | 15.9K | 11 |
| NJ | $977.78 | $10.9M | 11.1K | 1 |
| NV | $976.43 | $36.4M | 37.3K | 10 |
| CO | $968.60 | $43.4M | 44.8K | 9 |
| MI | $958.72 | $3.4M | 3.5K | 2 |
| IL | $958.18 | $5.2M | 5.4K | 3 |
| OH | $946.18 | $3.2M | 3.4K | 3 |
| MS | $933.29 | $3.4M | 3.6K | 3 |
| WA | $900.71 | $1.6M | 1.8K | 2 |
| AZ | $891.24 | $526.4M | 590.7K | 12 |
| MO | $869.54 | $2.9M | 3.3K | 1 |
| OR | $788.96 | $4.3M | 5.4K | 1 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Ira Denny | Nurse Practitioner | AZ | $135.2M | 153.3K | $881.71 |
| Jorge Kinds | Nurse Practitioner | AZ | $123.8M | 132.6K | $933.50 |
| Keith Goss | Podiatry | AZ | $83.7M | 97.9K | $854.23 |
| Carlos Ching | Nurse Practitioner | AZ | $62.9M | 68.3K | $920.61 |
| Bethany Jameson | Nurse Practitioner | AZ | $42.3M | 40.0K | $1058.30 |
| Gina Palacios | Nurse Practitioner | AZ | $27.0M | 34.2K | $788.95 |
| Elisabeth Balken | Nurse Practitioner | AZ | $23.3M | 29.5K | $788.95 |
| Stephen Dubin | General Practice | NV | $23.2M | 23.7K | $976.76 |
| Kirk Mitchell | Family Practice | CO | $20.7M | 19.6K | $1055.03 |
| Arlene Bautista | Nurse Practitioner | AZ | $16.8M | 21.3K | $788.95 |
| Samuel Jurca | Family Practice | TX | $12.1M | 11.4K | $1056.06 |
| Nyrie Austin | Nurse Practitioner | NJ | $10.9M | 11.1K | $977.78 |
| Richard Park | Internal Medicine | CA | $10.2M | 9.8K | $1045.79 |
| Jami Gorton | Nurse Practitioner | CO | $10.2M | 13.0K | $785.08 |
| Neil Sandhu | Dermatology | FL | $8.7M | 8.3K | $1049.20 |
| Jeffrey Steinberg | Podiatry | DC | $8.2M | 7.7K | $1073.28 |
| Owen Ellington | Internal Medicine | TX | $7.7M | 7.5K | $1027.78 |
| Eric Ogari | Nurse Practitioner | AZ | $6.9M | 8.8K | $788.95 |
| Shelita Banks | Nurse Practitioner | TX | $6.6M | 6.1K | $1087.23 |
| Patrick Black | Physical Therapist in Private Practice | CA | $6.5M | 6.3K | $1037.19 |
Based on the data, CPT Q4262 shows a 1.4x variation in pricing across states — relatively consistent 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.