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
Florida
Hospital Address Code Price Last Updated
Fort Walton Beach Medical Center 1000 Mar Walt Dr, Fort Walton Beach Q4122 $236 [source] 4 years ago
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee Q4122 $242 [source] 4 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach Q4122 $246 [source] 4 years ago
West Florida Hospital 8383 N Davis Hwy, Pensacola Q4122 $247 [source] 4 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville Q4122 $700 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota Q4122 $4,531 [source] 4 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee Q4122 $8,366 [source] 4 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami Q4122 $10,080 [source] 4 years ago
Twin Cities Hospital 2190 Hwy 85 N, Niceville Q4122 $10,739 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson Q4122 $10,856 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville Q4122 $10,856 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton Q4122 $13,266 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton Q4122 $13,266 [source] 4 years ago
Citrus Memorial Hospital 502 W. Highland Blvd, Inverness Q4122 $14,421 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q4122 $17,172 [source] 4 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale Q4122 $20,045 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q4122 $20,045 [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.