Code: Q4120

Description:
Description: Matristem burn matrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
BURN MATRIX MATRISTEM 7X10
BURN MATRIX MATRISTEM 10X15
KIT ACELL FINGER TRAUMA
Related codes:
Code: Q4121
THERASKIN 6SQCM
Code: Q4122
DERMACELLAWMPORO 1SQCM
Code: Q4123
ALLOSKIN RT 1SQCM
Code: Q4124
OASIS TRI MATRIX 35SQCM
Code: Q4125
ARTHROFLX 12SQCM .5M THK
Code: Q4126
DERMASPAN 25 SQ CM
Code: Q4127
Description: Talymed, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4128
FLEXALLOPMATR HD 1SQCM
North Carolina
Hospital Address Code Price Last Updated
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q4120 $304 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q4120 $6,464 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q4120 $6,464 [source] 4 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q4120 $6,464 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q4120 $6,464 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q4120 $6,464 [source] 4 years ago

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 ยง180.