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
North Carolina
Hospital Address Code Price Last Updated
Atrium Health University 8800 N. Tryon St. , Charlotte Q4121 $52 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q4121 $55 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q4121 $57 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q4121 $57 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q4121 $64 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q4121 $75 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q4121 $80 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q4121 $85 [source] 4 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q4121 $193 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q4121 $512 [source] 4 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q4121 $1,632 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton Q4121 $2,914 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q4121 $2,914 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q4121 $4,662 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q4121 $4,662 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q4121 $4,662 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q4121 $4,662 [source] 4 years ago
Rutherford Regional Health System 288 S. Ridgecrest Avenue, Rutherfordton Q4121 $8,251 [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.