Code: Q4121

Description:
Description: Theraskin, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
THERASKIN 13SQCM
THERASKIN 39SQCM
THERASKIN 18SQCM
THERASKIN 13 SQ CM
THERASKIN LG 2X3IN 102TSL
GRAFT THERASKIN 13 SQ CM (101TSS)
GRAFT THERASKIN 39 SQ CM (102TSL)
GRAFT SKIN 2X1IN THERASKIN CRYOPRESERVE MESH ALLOGRAFT
GRAFT SKIN 3X2IN THERASKIN 1.5:1 LARGE MESH ALLOGRAFT CRYOPRESERVE
Related codes:
Code: Q4120
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
State Average # Hospitals In Database
New Jersey (NJ) $16 1
Minnesota (MN) $25 13
Oklahoma (OK) $39 2
Hawaii (HI) $41 5
Maine (ME) $97 1
Mississippi (MS) $103 2
New Mexico (NM) $103 1
Delaware (DE) $105 1
Wisconsin (WI) $105 20
Connecticut (CT) $107 2
Alabama (AL) $115 1
Arizona (AZ) $161 1
Rhode Island (RI) $180 2
Tennessee (TN) $279 8
Michigan (MI) $385 111
Kentucky (KY) $413 5
Nevada (NV) $507 4
New Hampshire (NH) $747 2
Virginia (VA) $1,001 4
Missouri (MO) $1,005 5
Indiana (IN) $1,054 24
New York (NY) $1,084 1
Georgia (GA) $1,111 15
Iowa (IA) $1,211 3
Nebraska (NE) $1,211 11
District of Columbia (DC) $1,631 1
South Carolina (SC) $1,671 3
Maryland (MD) $1,687 6
North Carolina (NC) $1,977 18
Texas (TX) $2,126 49
Louisiana (LA) $2,195 3
Kansas (KS) $2,226 6
Pennsylvania (PA) $2,451 4
California (CA) $2,708 25
West Virginia (WV) $2,901 4
Florida (FL) $8,148 33

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.