Cost analysis for CPT Q4281 — Barrera sl or barrera dl, per square centimeter
Average Medicare Payment
$1219.40
2023 data
Total Payments (2023)
$62.4M
Services (2023)
51.2K
Price Change (2023–2023)
0.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2023 | $1219.40 | $62.4M | 51.2K | — |
The most expensive state pays 1.1x more than the cheapest for this procedure. FL averages $1251.66 vs NJ at $1159.69.
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Aaron Jeng | Internal Medicine | CA | $13.4M | 11.0K | $1215.20 |
| David Casper | Dermatology | FL | $6.4M | 5.2K | $1251.66 |
| Richard Park | Internal Medicine | CA | $4.8M | 4.0K | $1215.20 |
| Daniel Gutstein | Family Practice | IL | $2.7M | 2.3K | $1213.19 |
| Brooke Heying | Physician Assistant | CA | $2.7M | 2.2K | $1215.20 |
| Nyrie Austin | Nurse Practitioner | NJ | $2.5M | 2.2K | $1159.69 |
| Laxmi Deshabathini | Nurse Practitioner | IL | $2.5M | 2.1K | $1215.94 |
| Patrick Black | Physical Therapist in Private Practice | CA | $2.3M | 1.9K | $1214.78 |
| Sara Rosado | Physician Assistant | TX | $2.2M | 1.8K | $1244.06 |
| Deborah Dugan | Nurse Practitioner | AZ | $1.8M | 1.5K | $1215.20 |
| Cindy Hong | Nurse Practitioner | CA | $1.7M | 1.4K | $1202.19 |
| Okwudiri Echegi | Physician Assistant | CA | $1.6M | 1.3K | $1215.20 |
| Tiffany Vo | Physician Assistant | CA | $1.5M | 1.3K | $1215.20 |
| Nnaemeka Nnaji | Physical Therapist in Private Practice | CA | $1.5M | 1.3K | $1215.20 |
| Kristen Sosa | Nurse Practitioner | TX | $1.5M | 1.2K | $1251.66 |
| Brian Montgomery | Physician Assistant | CA | $1.5M | 1.2K | $1215.20 |
| Maria Conrica Dawis | Nurse Practitioner | CA | $1.5M | 1.2K | $1215.20 |
| Nadezhda Protasovitskaya | Nurse Practitioner | CA | $1.1M | 944 | $1215.20 |
| Carly Ann Millan | Nurse Practitioner | CA | $1.1M | 878 | $1215.20 |
| Kathy O'kelley | Nurse Practitioner | CA | $1.1M | 874 | $1215.20 |
Based on the data, CPT Q4281 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 0% since 2023. 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.