Code: Q4125

Description:
Description: Arthroflex, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
ARTHROFLEX 28 SQ CM 1THK
ARTHROFLEX 28 SQ CM 2THK
ARTHROFLEX 45 SQ CM
ARTHROFLEX 40X70MM 3THK
ARTHROFLEX 1 SQ CM
GRAFT ARTHROFLEX FLEXIGRAFT DERMIS 35X35X1.26-1.75MM SOFT TISSUE PATCH
GRAFT ARTHROFLEX FLEXIGRAFT DERMIS 40X70X1.26-1.75MM SOFT TISSUE PATCH
GRAFT DERMIS 70X40X2MM SOFT TISSUE DECELLULARIZED LATEX FREE
GRAFT ARTHROFLEX THK.76-1.25MM DECELLULARIZED DERMIS 70X40MM SOFT TISSUE
Related codes:
Code: Q4120
Code: Q4121
THERASKIN 6SQCM
Code: Q4122
DERMACELLAWMPORO 1SQCM
Code: Q4123
ALLOSKIN RT 1SQCM
Code: Q4124
OASIS TRI MATRIX 35SQCM
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
State Average # Hospitals In Database
Illinois (IL) $113 1
Alabama (AL) $143 3
Kansas (KS) $311 5
Kentucky (KY) $645 1
Indiana (IN) $1,145 16
Utah (UT) $1,844 2
Alaska (AK) $2,216 2
New Jersey (NJ) $2,966 1
District of Columbia (DC) $3,399 2
New Hampshire (NH) $3,454 5
Nebraska (NE) $3,695 11
Iowa (IA) $3,695 3
Vermont (VT) $3,704 1
Maryland (MD) $3,751 9
Missouri (MO) $3,816 7
Massachusetts (MA) $4,285 14
Idaho (ID) $4,490 3
Oklahoma (OK) $5,300 1
Virginia (VA) $5,799 3
California (CA) $6,351 26
New York (NY) $6,611 3
Georgia (GA) $6,952 9
Nevada (NV) $7,476 12
West Virginia (WV) $7,650 2
Wisconsin (WI) $8,675 15
Louisiana (LA) $9,192 3
Florida (FL) $9,418 84
Texas (TX) $9,450 50
North Carolina (NC) $10,072 19
Ohio (OH) $10,330 10
Connecticut (CT) $11,655 2
Michigan (MI) $13,363 101
South Carolina (SC) $26,048 4

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.