📋 Medical Procedure Code

Q4126

Memoderm, dermaspan, tranzgraft or integuply, per square centimeter
Other Descriptions:
MEMODERM 25 SQ CM
MEMODERM 32 SQ CM
MEMODERM 50 SQ CM
DERMASPAN 25SQCM
MEMODDERMTRZINT 1SQCM
MEMODERM 122.5 SQ CM
DERMASPAN 4X8CM 0.70MM
DERMASPAN 0.9-1.99 5X10CM
DERMASPAN 0.9-1.99 6X12CM
Related codes:
Code: Q4120
Description: Matristem burn matrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4121
Description: Theraskin, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4122
Description: Dermacell, dermacell awm or dermacell awm porous, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4123
Description: Alloskin rt, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4124
Description: Oasis ultra tri-layer wound matrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4125
Description: Arthroflex, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4127
Description: Talymed, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4128
Description: Flex hd, allopatch hd, or matrix hd, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)

Hospital Prices in Missouri

Detailed hospital-level pricing for procedure code Q4128 across Missouri. Compare prices from different hospitals to understand cost variations in your area.

🗺️ Hospital Locations Map

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📊 Hospital Prices in Missouri

State Average: $391

Hospital Address Code Price Last Updated
Saint Luke’s North Hospital 5830 Nw Barry Rd, Kansas City Q4126 $138 [source] 4 years ago
Saint Luke’s Hospital 4401 Wornall Rd, Kansas City Q4126 $644 [source] 4 years ago

ℹ️ About This Data

The prices shown are from hospital chargemaster files, which represent the list prices hospitals charge before insurance negotiations or discounts. Your actual cost may be different depending on your insurance coverage, deductibles, and negotiated rates. Always check with your insurance provider and hospital for accurate cost estimates.


ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR §180.