Biovance tri-layer or biovance 3l, per square centimeter
Medicare pricing data for 39 providers across 3 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Biovance tri-layer or biovance 3l, per square centimeter (HCPCS code Q4283) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,487, but hospitals typically charge $1,751 — a 1.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,487, your out-of-pocket cost would be approximately $297.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 1.2x more than what Medicare allows for this procedure. Medicare actually pays $1,185 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Oklahoma | $1,519 | $1,707 | 10 | 2,168 | +2.1% |
| Florida | $1,509 | $1,895 | 12 | 2,187 | +1.5% |
| New York | $1,445 | $1,558 | 2 | 2,886 | -2.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber