Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Dual layer impax, per sq cm
Dubuque, IA
See all hospitals reporting HCPCS Q4262 →Price type
The Finley Hospital’s median price of $170 is about the same as the median hospital's median price ($170), higher than 45% of the 910 hospitals reporting HCPCS Q4262. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 9 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Wellmark commercial fee schedule · both | $170 | $170 | — | — | — | $170 – $170 |
| 2 | Wellmark commercial fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 3 | Wellmark hmo fee schedule · both | $170 | $170 | — | — | — | $170 – $170 |
| 4 | Wellmark hmo fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 5 | Wellmark ppo fee schedule · both | $170 | $170 | — | — | — | $170 – $170 |
| 6 | Wellmark ppo fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 7 | UnitedHealthcare hmo fee schedule · both | $707 | $707 | — | — | — | $707 – $707 |
| 8 | UnitedHealthcare ppo fee schedule · both | $707 | $707 | — | — | — | $707 – $707 |
| 9 | Cigna commercial fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Jan 28, 2026
See Dual-layer membrane graft, per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.