HCPCS code Q4364: Amniotic membrane, XPL product, per square centimeter2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $127.26 for Q4364 in the office.

Check a contract rate as a % of Medicare · Q4364 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 Q4364 covers

Q4364 identifies the AmnioBurrx XPL amniotic membrane product, reported by the square centimeter. It represents the wound-covering product, not the clinician’s work to prepare the wound or apply the material. A physician or other qualified practitioner may use an amniotic membrane product during treatment of a wound, such as a chronic ulcer, in an office or outpatient setting. The product code is distinct from codes describing the application service.

Report the measured amount of product used in square-centimeter units and pair Q4364 with the applicable primary procedure. CMS treats this as an add-on code paid within the primary procedure’s global period. CMS also classifies it as technical-component-only, with a separate code covering interpretation. Documentation should identify the product, wound treated, amount applied, and the associated primary procedure so the billed units and pairing are supported.

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 North Dakota compares for Q4364

Across 109 of 109 payment localities, the office rate for Q4364 runs from $109.31 in Arkansas to $183.51 in Santa Clara County, CA. North Dakota pays $127.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

Q4364 rates by state

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

See Q4364 in every payment locality

How the Q4364 rate is calculated

Each of Q4364’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 Q4364

The CMS indicators that decide how Q4364 is paid alongside other services.

Codes related to Q4364

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

How Q4364 has changed in North Dakota

Price Q4364 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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