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
Texas
Hospital Address Code Price Last Updated
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q4124 $15 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q4124 $15 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q4124 $40 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy Q4124 $43 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor Q4124 $43 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin Q4124 $48 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda Q4124 $48 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville Q4124 $48 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth Q4124 $319 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q4124 $597 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo Q4124 $683 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison Q4124 $711 [source] 4 years ago
Ennis Regional Medical Center 2201 West Lampasas, Waxahachie Q4124 $759 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q4124 $768 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q4124 $768 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q4124 $768 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls Q4124 $1,553 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station Q4124 $1,657 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham Q4124 $1,760 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple Q4124 $2,589 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills Q4124 $3,450 [source] 4 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen Q4124 $18,540 [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.