Code: Q4122

Description:
Description: Dermacell, dermacell awm or dermacell awm porous, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
DERMACELL AWM MSH 4SQCM
DERMACELL 180 SQCM
DERMACELL 6X12CM 1.25-2MM
GRAFT MESHED 3X3CM/9SQ CM (DCELL111)
GRAFT MESHED 4X4CMX0.8MM/16SQ CM (DCELL1
TISSUE DERMACELL 8X16CM .75-1.50MM
TISSUE DERMACELL 16X20CM 0.6-1.05MM MICROPERF
TISSUE DERMACELL 10X18 0.6-1.05MM MICROPERF
TISSUE DERMACELL 12X21 0.6-1.05MM MICROPERF
Related codes:
Code: Q4120
Code: Q4121
THERASKIN 6SQCM
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
Minnesota (MN) $27 14
Missouri (MO) $71 1
Kansas (KS) $75 1
Arizona (AZ) $83 1
New Mexico (NM) $309 1
Alaska (AK) $455 2
Michigan (MI) $819 101
Indiana (IN) $889 15
New Hampshire (NH) $914 2
Virginia (VA) $1,807 2
Idaho (ID) $1,907 4
South Carolina (SC) $2,125 2
Tennessee (TN) $2,150 9
Wisconsin (WI) $2,669 4
Nevada (NV) $5,035 6
Texas (TX) $5,069 36
Maryland (MD) $8,124 3
California (CA) $8,242 25
Florida (FL) $8,542 25
New York (NY) $12,043 3
Kentucky (KY) $13,083 1
West Virginia (WV) $15,788 2
District of Columbia (DC) $17,202 1
Alabama (AL) $19,375 1
North Carolina (NC) $23,761 15

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.