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

Wisconsin

Hospital	Address	Code	Price	Last Updated
River Falls Area Hospital	, River Falls	Q4122	$22 [source]	4 years ago
Ascension Calumet Hospital	614 Memorial Dr, Chilton	Q4122	$146 [source]	4 years ago
Aspirus Stevens Point Hospital	5409 Vern Holmes Dr,	Q4122	$5,254 [source]	4 years ago
Aspirus Wausau Hospital	333 Pine Ridge Blvd, Wausau	Q4122	$5,254 [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 §180.