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
California
Hospital Address Code Price Last Updated
Doctors Hospital Of Manteca 1205 East North St., Manteca Q4121 $55 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond Q4121 $2,652 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco Q4121 $2,652 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills Q4121 $2,652 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento Q4121 $2,652 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch Q4121 $2,652 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto Q4121 $2,652 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville Q4121 $2,652 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro Q4121 $2,652 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek Q4121 $2,652 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara Q4121 $2,652 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento Q4121 $2,652 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon Q4121 $2,652 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City Q4121 $2,652 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo Q4121 $2,652 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael Q4121 $2,652 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco Q4121 $2,652 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno Q4121 $2,652 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville Q4121 $2,652 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose Q4121 $2,652 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar Q4121 $3,046 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta Q4121 $3,046 [source] 4 years ago
Sutter Delta Medical Center 3901 Lone Tree Way, Antioch Q4121 $3,222 [source] 4 years ago
Mills-Peninsula Medical Center 1501 Trousdale Dr, Burlingame Q4121 $5,284 [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.