HCPCS code Q4318: Wound graft, per square centimeter2026 Medicare rate & RVUs in Nebraska

In Nebraska, Medicare pays $117.46 for Q4318 in the office.

Check a contract rate as a % of Medicare · Q4318 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What Q4318 covers

Q4318 identifies E-Graft, a product used as wound coverage during wound treatment. A wound-care clinician may use it in an outpatient wound clinic or hospital outpatient department as part of a procedure addressing a chronic or complex wound. The code represents the product quantity, not the clinician’s evaluation or the work of applying it.

Report Q4318 only with an applicable primary procedure; it is not a stand-alone service. The primary procedure depends on the wound’s location and the service performed. Document the product used and the square-centimeter quantity reported, along with the wound and the associated procedure. CMS treats Q4318 as an add-on paid within the primary procedure’s global period. It is technical-component-only; a separate code covers interpretation.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Nebraska compares for Q4318

Across 109 of 109 payment localities, the office rate for Q4318 runs from $109.31 in Arkansas to $183.51 in Santa Clara County, CA. Nebraska pays $117.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

Q4318 rates by state

Office rate range in each state. Select a state to see its payment localities.

See Q4318 in every payment locality

How the Q4318 rate is calculated

Each of Q4318’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for Q4318

The CMS indicators that decide how Q4318 is paid alongside other services.

Codes related to Q4318

Related codes aren’t interchangeable: bill the code that matches the service performed.

How Q4318 has changed in Nebraska

Price Q4318 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

• Abie
• Adams
• Agnew
• Ainsworth
• Albion
• Alda
• Alexandria
• Allen

Browse all communities in Nebraska

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates