Q4415 identifies Alexiguard ST-L; Q4417 identifies Alexiguard DL-T. Match the claim to the product documentation.
On this page
CMS RVU26D · Effective 2026-10-01
Q4417 in Redding
Office / nonfacility
$139.47
Base rate per service
Facility setting
Not available in this setting
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Wound care products
About Q4417: Alexiguard DL-T wound product
Reports the per-square-centimeter Alexiguard DL-T wound product when furnished with a qualifying primary wound procedure.
Q4417 identifies the Alexiguard DL-T product by the square centimeter for wound treatment. It represents the product supplied for a wound, not the clinical work of evaluating or treating the wound. Wound-care clinicians may use it during a primary procedure that applies a wound product; the exact application method and clinical setting depend on the treatment plan and the wound.
Report the Alexiguard DL-T variant only when that is the product furnished, and support the claim with the product record, wound site, measured area, and quantity used. Because CMS identifies Q4417 as an add-on, bill it only with a qualifying primary procedure; its payment is associated with that procedure's global period. The code is technical-component-only, with interpretation represented by a separate code when applicable. Do not substitute another Alexiguard variant based only on a similar product name.
CMS billing rules for Q4417
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU3.81 · 100%
- Malpractice RVU0.00 · 0%
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.
Q4417 compared with similar codes
Office rates for Redding, from the same CMS release.
Q4416 identifies Alexiguard TL-T, while Q4417 identifies DL-T. The product variant, not wound location alone, distinguishes these codes.
Q4417 reports the product quantity per square centimeter; 15271 reports the qualifying primary application procedure for specified wound sites.
Q4417 reports Alexiguard DL-T product quantity; 15275 is a primary application procedure for qualifying wounds at specified anatomic sites.
The same code, a different location
How does Redding compare?
In Bakersfield, the office rate for Q4417 is $139.47—the same base rate than the $139.47 rate in Redding. Both use the same code, release and participation basis.
Q4417 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
$139.47
$139.47
The same base rate than Redding
$139.47
The same base rate than Redding
$139.47
The same base rate than Redding
$139.47
The same base rate than Redding
$139.47
The same base rate than Redding
$11.08 higher than Redding
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, Q4417 ranges from $109.31 in Arkansas to $183.51 in San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · Q4417
Office
$139.47
Facility
Unavailable
The same base rate than Redding for the office setting.
Merced
California · Q4417
Office
$139.47
Facility
Unavailable
The same base rate than Redding for the office setting.
Modesto
California · Q4417
Office
$139.47
Facility
Unavailable
The same base rate than Redding for the office setting.
Napa
California · Q4417
Office
$167.73
Facility
Unavailable
$28.26 higher than Redding for the office setting.
Oxnard-Thousand Oaks-Ventura
California · Q4417
Office
$150.42
Facility
Unavailable
$10.95 higher than Redding for the office setting.
Rest Of California
California · Q4417
Office
$139.47
Facility
Unavailable
The same base rate than Redding for the office setting.
Riverside-San Bernardino-Ontario
California · Q4417
Office
$139.47
Facility
Unavailable
The same base rate than Redding for the office setting.
Sacramento-Roseville-Folsom
California · Q4417
Office
$148.00
Facility
Unavailable
$8.53 higher than Redding for the office setting.
Salinas
California · Q4417
Office
$147.49
Facility
Unavailable
$8.02 higher than Redding for the office setting.
San Diego-Chula Vista-Carlsbad
California · Q4417
Office
$152.20
Facility
Unavailable
$12.73 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · Q4417
Office
$179.43
Facility
Unavailable
$39.96 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · Q4417
Office
$179.43
Facility
Unavailable
$39.96 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · Q4417
Office
$183.51
Facility
Unavailable
$44.04 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · Q4417
Office
$183.51
Facility
Unavailable
$44.04 higher than Redding for the office setting.
San Luis Obispo-Paso Robles
California · Q4417
Office
$144.95
Facility
Unavailable
$5.48 higher than Redding for the office setting.
Santa Cruz-Watsonville
California · Q4417
Office
$154.62
Facility
Unavailable
$15.15 higher than Redding for the office setting.
Santa Maria-Santa Barbara
California · Q4417
Office
$148.38
Facility
Unavailable
$8.91 higher than Redding for the office setting.
Santa Rosa-Petaluma
California · Q4417
Office
$156.27
Facility
Unavailable
$16.80 higher than Redding for the office setting.
Stockton
California · Q4417
Office
$139.47
Facility
Unavailable
The same base rate than Redding for the office setting.
Vallejo
California · Q4417
Office
$167.73
Facility
Unavailable
$28.26 higher than Redding for the office setting.
Visalia
California · Q4417
Office
$139.47
Facility
Unavailable
The same base rate than Redding for the office setting.
Yuba City
California · Q4417
Office
$139.47
Facility
Unavailable
The same base rate than Redding for the office setting.
Dc + Md/Va Suburbs
District of Columbia · Q4417
Office
$149.91
Facility
Unavailable
$10.44 higher than Redding for the office setting.
Miami
Florida · Q4417
Office
$132.47
Facility
Unavailable
$7.00 lower than Redding for the office setting.
Chicago
Illinois · Q4417
Office
$127.89
Facility
Unavailable
$11.58 lower than Redding for the office setting.
Manhattan
New York · Q4417
Office
$147.87
Facility
Unavailable
$8.40 higher than Redding for the office setting.
Alaska*
Alaska · Q4417
Office
$135.53
Facility
Unavailable
$3.94 lower than Redding for the office setting.
Alabama
Alabama · Q4417
Office
$111.35
Facility
Unavailable
$28.12 lower than Redding for the office setting.
Arkansas
Arkansas · Q4417
Office
$109.31
Facility
Unavailable
$30.16 lower than Redding for the office setting.
Arizona
Arizona · Q4417
Office
$123.31
Facility
Unavailable
$16.16 lower than Redding for the office setting.
Colorado
Colorado · Q4417
Office
$135.40
Facility
Unavailable
$4.07 lower than Redding for the office setting.
Connecticut
Connecticut · Q4417
Office
$137.06
Facility
Unavailable
$2.41 lower than Redding for the office setting.
Delaware
Delaware · Q4417
Office
$125.73
Facility
Unavailable
$13.74 lower than Redding for the office setting.
Fort Lauderdale
Florida · Q4417
Office
$128.91
Facility
Unavailable
$10.56 lower than Redding for the office setting.
Rest Of Florida
Florida · Q4417
Office
$121.66
Facility
Unavailable
$17.81 lower than Redding for the office setting.
Atlanta
Georgia · Q4417
Office
$129.29
Facility
Unavailable
$10.18 lower than Redding for the office setting.
Rest Of Georgia
Georgia · Q4417
Office
$113.51
Facility
Unavailable
$25.96 lower than Redding for the office setting.
Hawaii, Guam
Hawaii · Q4417
Office
$144.69
Facility
Unavailable
$5.22 higher than Redding for the office setting.
Iowa
Iowa · Q4417
Office
$116.44
Facility
Unavailable
$23.03 lower than Redding for the office setting.
Idaho
Idaho · Q4417
Office
$117.08
Facility
Unavailable
$22.39 lower than Redding for the office setting.
East St. Louis
Illinois · Q4417
Office
$117.08
Facility
Unavailable
$22.39 lower than Redding for the office setting.
Rest Of Illinois
Illinois · Q4417
Office
$116.19
Facility
Unavailable
$23.28 lower than Redding for the office setting.
Suburban Chicago
Illinois · Q4417
Office
$130.69
Facility
Unavailable
$8.78 lower than Redding for the office setting.
Indiana
Indiana · Q4417
Office
$117.97
Facility
Unavailable
$21.50 lower than Redding for the office setting.
Kansas
Kansas · Q4417
Office
$115.04
Facility
Unavailable
$24.43 lower than Redding for the office setting.
Kentucky
Kentucky · Q4417
Office
$113.13
Facility
Unavailable
$26.34 lower than Redding for the office setting.
New Orleans
Louisiana · Q4417
Office
$119.75
Facility
Unavailable
$19.72 lower than Redding for the office setting.
Rest Of Louisiana
Louisiana · Q4417
Office
$112.62
Facility
Unavailable
$26.85 lower than Redding for the office setting.
Metropolitan Boston
Massachusetts · Q4417
Office
$151.95
Facility
Unavailable
$12.48 higher than Redding for the office setting.
Rest Of Massachusetts
Massachusetts · Q4417
Office
$134.00
Facility
Unavailable
$5.47 lower than Redding for the office setting.
Baltimore/Surr. Cntys
Maryland · Q4417
Office
$136.55
Facility
Unavailable
$2.92 lower than Redding for the office setting.
Rest Of Maryland
Maryland · Q4417
Office
$128.78
Facility
Unavailable
$10.69 lower than Redding for the office setting.
Rest Of Maine
Maine · Q4417
Office
$117.08
Facility
Unavailable
$22.39 lower than Redding for the office setting.
Southern Maine
Maine · Q4417
Office
$126.11
Facility
Unavailable
$13.36 lower than Redding for the office setting.
Detroit
Michigan · Q4417
Office
$122.80
Facility
Unavailable
$16.67 lower than Redding for the office setting.
Rest Of Michigan
Michigan · Q4417
Office
$116.19
Facility
Unavailable
$23.28 lower than Redding for the office setting.
Minnesota
Minnesota · Q4417
Office
$130.95
Facility
Unavailable
$8.52 lower than Redding for the office setting.
Metropolitan Kansas City
Missouri · Q4417
Office
$119.49
Facility
Unavailable
$19.98 lower than Redding for the office setting.
Metropolitan St. Louis
Missouri · Q4417
Office
$121.15
Facility
Unavailable
$18.32 lower than Redding for the office setting.
Rest Of Missouri
Missouri · Q4417
Office
$109.70
Facility
Unavailable
$29.77 lower than Redding for the office setting.
Mississippi
Mississippi · Q4417
Office
$109.57
Facility
Unavailable
$29.90 lower than Redding for the office setting.
Montana**
Montana · Q4417
Office
$127.26
Facility
Unavailable
$12.21 lower than Redding for the office setting.
North Carolina
North Carolina · Q4417
Office
$118.73
Facility
Unavailable
$20.74 lower than Redding for the office setting.
North Dakota**
North Dakota · Q4417
Office
$127.26
Facility
Unavailable
$12.21 lower than Redding for the office setting.
Nebraska
Nebraska · Q4417
Office
$117.46
Facility
Unavailable
$22.01 lower than Redding for the office setting.
New Hampshire
New Hampshire · Q4417
Office
$132.47
Facility
Unavailable
$7.00 lower than Redding for the office setting.
Northern Nj
New Jersey · Q4417
Office
$147.62
Facility
Unavailable
$8.15 higher than Redding for the office setting.
Rest Of New Jersey
New Jersey · Q4417
Office
$138.97
Facility
Unavailable
$0.50 lower than Redding for the office setting.
New Mexico
New Mexico · Q4417
Office
$116.70
Facility
Unavailable
$22.77 lower than Redding for the office setting.
Nevada**
Nevada · Q4417
Office
$127.38
Facility
Unavailable
$12.09 lower than Redding for the office setting.
Nyc Suburbs/Long Island
New York · Q4417
Office
$151.31
Facility
Unavailable
$11.84 higher than Redding for the office setting.
Poughkpsie/N Nyc Suburbs
New York · Q4417
Office
$139.35
Facility
Unavailable
$0.12 lower than Redding for the office setting.
Queens
New York · Q4417
Office
$150.42
Facility
Unavailable
$10.95 higher than Redding for the office setting.
Rest Of New York
New York · Q4417
Office
$120.89
Facility
Unavailable
$18.58 lower than Redding for the office setting.
Ohio
Ohio · Q4417
Office
$116.19
Facility
Unavailable
$23.28 lower than Redding for the office setting.
Oklahoma
Oklahoma · Q4417
Office
$113.64
Facility
Unavailable
$25.83 lower than Redding for the office setting.
Portland
Oregon · Q4417
Office
$141.38
Facility
Unavailable
$1.91 higher than Redding for the office setting.
Rest Of Oregon
Oregon · Q4417
Office
$126.75
Facility
Unavailable
$12.72 lower than Redding for the office setting.
Metropolitan Philadelphia
Pennsylvania · Q4417
Office
$132.47
Facility
Unavailable
$7.00 lower than Redding for the office setting.
Rest Of Pennsylvania
Pennsylvania · Q4417
Office
$116.82
Facility
Unavailable
$22.65 lower than Redding for the office setting.
Puerto Rico
Puerto Rico · Q4417
Office
$128.66
Facility
Unavailable
$10.81 lower than Redding for the office setting.
Rhode Island
Rhode Island · Q4417
Office
$131.46
Facility
Unavailable
$8.01 lower than Redding for the office setting.
South Carolina
South Carolina · Q4417
Office
$117.59
Facility
Unavailable
$21.88 lower than Redding for the office setting.
South Dakota**
South Dakota · Q4417
Office
$127.26
Facility
Unavailable
$12.21 lower than Redding for the office setting.
Tennessee
Tennessee · Q4417
Office
$115.68
Facility
Unavailable
$23.79 lower than Redding for the office setting.
Austin
Texas · Q4417
Office
$134.64
Facility
Unavailable
$4.83 lower than Redding for the office setting.
Beaumont
Texas · Q4417
Office
$115.80
Facility
Unavailable
$23.67 lower than Redding for the office setting.
Brazoria
Texas · Q4417
Office
$126.11
Facility
Unavailable
$13.36 lower than Redding for the office setting.
Dallas
Texas · Q4417
Office
$126.75
Facility
Unavailable
$12.72 lower than Redding for the office setting.
Fort Worth
Texas · Q4417
Office
$125.48
Facility
Unavailable
$13.99 lower than Redding for the office setting.
Galveston
Texas · Q4417
Office
$126.37
Facility
Unavailable
$13.10 lower than Redding for the office setting.
Houston
Texas · Q4417
Office
$126.37
Facility
Unavailable
$13.10 lower than Redding for the office setting.
Rest Of Texas
Texas · Q4417
Office
$120.77
Facility
Unavailable
$18.70 lower than Redding for the office setting.
Utah
Utah · Q4417
Office
$119.62
Facility
Unavailable
$19.85 lower than Redding for the office setting.
Virginia
Virginia · Q4417
Office
$125.09
Facility
Unavailable
$14.38 lower than Redding for the office setting.
Virgin Islands
United States Virgin Islands · Q4417
Office
$128.66
Facility
Unavailable
$10.81 lower than Redding for the office setting.
Vermont
Vermont · Q4417
Office
$125.98
Facility
Unavailable
$13.49 lower than Redding for the office setting.
Rest Of Washington
Washington · Q4417
Office
$134.00
Facility
Unavailable
$5.47 lower than Redding for the office setting.
Seattle (King Cnty)
Washington · Q4417
Office
$156.14
Facility
Unavailable
$16.67 higher than Redding for the office setting.
Wisconsin
Wisconsin · Q4417
Office
$121.91
Facility
Unavailable
$17.56 lower than Redding for the office setting.
West Virginia
West Virginia · Q4417
Office
$110.59
Facility
Unavailable
$28.88 lower than Redding for the office setting.
Wyoming**
Wyoming · Q4417
Office
$127.26
Facility
Unavailable
$12.21 lower than Redding for the office setting.
See how rates vary across the country
Q4417 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$109.31
$161.49
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $135.53 | 1 |
| AL | $111.35 | 1 |
| AR | $109.31 | 1 |
| AZ | $123.31 | 1 |
| CA | $139.47–$183.51 | 29 |
| CO | $135.40 | 1 |
| CT | $137.06 | 1 |
| DC | $149.91 | 1 |
| DE | $125.73 | 1 |
| FL | $121.66–$132.47 | 3 |
| GA | $113.51–$129.29 | 2 |
| GU | $144.69 | 1 |
| HI | $144.69 | 1 |
| IA | $116.44 | 1 |
| ID | $117.08 | 1 |
| IL | $116.19–$130.69 | 4 |
| IN | $117.97 | 1 |
| KS | $115.04 | 1 |
| KY | $113.13 | 1 |
| LA | $112.62–$119.75 | 2 |
| MA | $134.00–$151.95 | 2 |
| MD | $128.78–$149.91 | 3 |
| ME | $117.08–$126.11 | 2 |
| MI | $116.19–$122.80 | 2 |
| MN | $130.95 | 1 |
| MO | $109.70–$121.15 | 3 |
| MS | $109.57 | 1 |
| MT | $127.26 | 1 |
| NC | $118.73 | 1 |
| ND | $127.26 | 1 |
| NE | $117.46 | 1 |
| NH | $132.47 | 1 |
| NJ | $138.97–$147.62 | 2 |
| NM | $116.70 | 1 |
| NV | $127.38 | 1 |
| NY | $120.89–$151.31 | 5 |
| OH | $116.19 | 1 |
| OK | $113.64 | 1 |
| OR | $126.75–$141.38 | 2 |
| PA | $116.82–$132.47 | 2 |
| PR | $128.66 | 1 |
| RI | $131.46 | 1 |
| SC | $117.59 | 1 |
| SD | $127.26 | 1 |
| TN | $115.68 | 1 |
| TX | $115.80–$134.64 | 8 |
| UT | $119.62 | 1 |
| VA | $125.09–$149.91 | 2 |
| VI | $128.66 | 1 |
| VT | $125.98 | 1 |
| WA | $134.00–$156.14 | 2 |
| WI | $121.91 | 1 |
| WV | $110.59 | 1 |
| WY | $127.26 | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for Q4417 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$153.42
$139.47 × 110% = $153.42
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for Q4417 in Redding.
PPRRVU2026_Oct_nonQPP.csv
18,502
- Code
- Q4417
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.017 | 0.0000 |
| Practice expense | 3.81 | × 1.096 | 4.1758 |
| Malpractice | 0.00 | × 0.536 | 0.0000 |
| Total RVUs | 4.1758 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Redding$139.47
Open Q4417 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.017 |
| Practice expense | 3.81 | 1.096 |
| Malpractice | 0 | 0.536 |
(0 × 1.017 + 3.81 × 1.096 + 0 × 0.536) × $33.4009 = $139.47
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
Q4417 · Office / nonfacility
$139.47
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
No ratechanged to$139.47
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: No rate
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $139.47 | Not available in this setting | RVU26D |
| 2026-07-01 | $139.47 | Not available in this setting | RVU26C |
| 2026-04-01 | $139.47 | Not available in this setting | RVU26B |
| 2026-01-01 | $139.47 | Not available in this setting | RVU26A |
| 2025-10-01 | Not in this release | Not in this release | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
Q4417 billing questions
Can Q4417 be billed by itself?
No. CMS identifies it as an add-on, so report it only with a qualifying primary procedure. Its payment is associated with that procedure's global period.
How should the units be determined?
The descriptor is per square centimeter. Document the area of Alexiguard DL-T furnished and ensure the reported quantity matches the product record.
How is Q4417 distinguished from Q4415 and Q4416?
These codes identify different Alexiguard product variants. Use Q4417 only when the product documentation identifies DL-T, rather than the ST-L or TL-T variant.
Does Q4417 include interpretation?
No. CMS classifies it as technical-component-only; a separate code represents interpretation when applicable.
What documentation supports Q4417?
Retain records identifying Alexiguard DL-T, the wound site, the measured product area, the quantity furnished, and the accompanying primary procedure.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
