$145.75
15271 reports the primary application procedure for applicable wounds; Q4306 reports the American Amnion AC product supplied with that procedure.
On this page
CMS RVU26D · Effective 2026-10-01
Q4306 Amnion allograft Medicare reimbursement rates in Nebraska
Reports American Amnion AC wound-covering material by square centimeter when supplied with a primary skin-substitute application procedure. Compare Q4306 office and facility rates across CMS payment localities in Nebraska.
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.
What does Medicare pay for Q4306 in Nebraska?
Nebraska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$117.46
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Skin substitute supply
About Q4306: American Amnion AC graft supply
Reports American Amnion AC wound-covering material by square centimeter when supplied with a primary skin-substitute application procedure.
Q4306 reports the American Amnion AC amniotic membrane product used as a wound-covering material. It represents the product supply measured by area, rather than the clinician’s work to prepare and place the material. Wound-care clinicians, including physicians and other qualified practitioners, may use it during skin-substitute treatment of a wound in an office or facility setting.
Report the square-centimeter quantity supported by the product and wound documentation, and pair the code with the primary procedure for the application. The record should identify the product, treated wound site, amount used, and application service. Under the CMS rules provided, Q4306 is an add-on code and is paid within the primary procedure’s global period. It is technical-component-only; a separate code covers interpretation.
CMS billing rules for Q4306
- 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.
Q4306 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$148.92
15275 is a primary application procedure selected for its covered wound-site circumstances. Q4306 identifies the product supply, not the application.
$117.46
Q4305 identifies American Amnion Tri-Layer, while Q4306 identifies American Amnion AC. Choose the product-specific code for the material supplied.
$117.46
Q4307 identifies American Amnion; Q4306 identifies American Amnion AC. The product used determines which supply code applies.
Compare Q4306 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Nebraska →
Office / nonfacility
$117.46
Facility
Unavailable
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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 Q4306 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
18,393
- Code
- Q4306
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.923 | 3.5166 |
| Malpractice | 0.00 | × 0.378 | 0.0000 |
| Total RVUs | 3.5166 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$117.46
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.923 |
| Malpractice | 0 | 0.378 |
(0 × 1 + 3.81 × 0.923 + 0 × 0.378) × $33.4009 = $117.46
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.
Q4306 billing questions
Can Q4306 be reported by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
Does Q4306 report the application work?
No. It reports American Amnion AC product by square centimeter. Report the primary application procedure separately.
How should units be determined?
Use the square-centimeter quantity supported by the product and wound documentation. Record the product and the treated area.
Is interpretation included in Q4306?
No. CMS classifies the code as technical-component-only; a separate code covers interpretation.
Which application code should accompany it?
Select the primary application procedure based on the wound site and treated area. For example, 15271, 15273, and 15275 cover different application circumstances.
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.
18,390Q4303,,"Complete aa, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,391Q4304,,"Grafix plus, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,392Q4305,,Amer am ac tri-lay per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,393Q4306,,Americ amnion ac per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,394Q4307,,"American amnion, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,395Q4308,,"Sanopellis, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,396Q4309,,"Via matrix, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068