Code Q4155
Medicare Fee Schedule & MUE Reference Data
Last updated: January 23, 2026
Pricing & Policy Data
Select a fee schedule type to view estimated pricing and details.
Effective Dates
10/01/2025 - 12/31/2025
Modifiers
Base
Estimated Pricing
$26.62 (ASP Limit)
Effective Dates
07/01/2025 - 09/30/2025
Modifiers
Base
Estimated Pricing
$27.31 (ASP Limit)
Effective Dates
04/01/2025 - 06/30/2025
Modifiers
Base
Estimated Pricing
$26.31 (ASP Limit)
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