Code: Q4124

Description:
Description: Oasis ultra tri-layer wound matrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
OASIS TRI-LAYER 1SQCM
Drsg Oasis Tri-layer Per Sq Cm
DRESSING OASIS ULTRA PORCINE SMALL INTESTINE SUBMUCOSA 10X7CM BIOLOGICAL 3
DRESSING OASIS ULTRA PORCINE SMALL INTESTINE SUBMUCOSA 7X5CM BIOLOGICAL 3
CATHETER FOGARTY 6FR COIL 50CM THROMBECTOMY GRAFT FLEXIBLE CLOT MANAGEMENT
OASIS TRI LYR 35 PER SQCM
OASIS ULTRA TRI-LAYER MATRIX, PER SQ CM, 3 X 7CM PAD
OASIS ULTRA TRI-LAYER MATRIX, PER SQ CM, 3 X 3.5CM PAD
OASIS ULTRA TRI-LAYER MATRIX, PER SQ CM, 5 X 7CM PAD
Related codes:
Code: Q4120
Code: Q4121
THERASKIN 6SQCM
Code: Q4122
DERMACELLAWMPORO 1SQCM
Code: Q4123
ALLOSKIN RT 1SQCM
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
Richmond Medical Center 901 Nevin Ave, Richmond Q4124 $59 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco Q4124 $59 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills Q4124 $59 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento Q4124 $59 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch Q4124 $59 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto Q4124 $59 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville Q4124 $59 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro Q4124 $59 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek Q4124 $59 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara Q4124 $59 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento Q4124 $59 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon Q4124 $59 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City Q4124 $59 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo Q4124 $59 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael Q4124 $59 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco Q4124 $59 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno Q4124 $59 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville Q4124 $59 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose Q4124 $59 [source] 4 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose Q4124 $226 [source] 4 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills Q4124 $973 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula Q4124 $1,992 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar Q4124 $3,046 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta Q4124 $3,046 [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.