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
Ohio
Hospital Address Code Price Last Updated
Euclid Hospital 18901 Lakeshore Blvd., Cleveland Q4124 $1,541 [source] 4 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland Q4124 $1,541 [source] 4 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland Q4124 $1,682 [source] 4 years ago
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland Q4124 $1,725 [source] 4 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland Q4124 $1,725 [source] 4 years ago
Medina Hospital 1000 E. Washington St., Medina Q4124 $2,072 [source] 4 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland Q4124 $2,587 [source] 4 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland Q4124 $2,587 [source] 4 years ago
Akron General Lodi Hospital 225 Elyria St., Lodi Q4124 $4,562 [source] 4 years ago
Akron General 1 Akron General Ave., Akron Q4124 $4,562 [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.