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
Florida
Hospital Address Code Price Last Updated
West Florida Hospital 8383 N Davis Hwy, Pensacola Q4125 $446 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q4125 $450 [source] 4 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park Q4125 $530 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q4125 $571 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills Q4125 $656 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q4125 $833 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q4125 $833 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa Q4125 $833 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q4125 $841 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach Q4125 $3,343 [source] 4 years ago
Plantation General Hospital 401 Nw 42 Ave, Fort Lauderdale Q4125 $3,995 [source] 4 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach Q4125 $4,250 [source] 4 years ago
Raulerson Hospital 1796 Hwy 441 North, Okeechobee Q4125 $4,250 [source] 4 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville Q4125 $6,375 [source] 4 years ago
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee Q4125 $6,885 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami Q4125 $7,700 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q4125 $7,700 [source] 4 years ago
Jfk Medical Center - North Campus 2201 45Th St, West Palm Beach Q4125 $7,700 [source] 4 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee Q4125 $7,700 [source] 4 years ago
St. Lucie Medical Center 1800 Se Tiffany Ave, Port Saint Lucie Q4125 $7,700 [source] 4 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth Q4125 $7,894 [source] 4 years ago
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale Q4125 $7,894 [source] 4 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee Q4125 $8,056 [source] 4 years ago
Fort Walton Beach Medical Center 1000 Mar Walt Dr, Fort Walton Beach Q4125 $8,925 [source] 4 years ago
Citrus Memorial Hospital 502 W. Highland Blvd, Inverness Q4125 $9,023 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton Q4125 $9,924 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton Q4125 $9,924 [source] 4 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale Q4125 $10,657 [source] 4 years ago
Englewood Community Hospital 700 Medical Blvd, Englewood Q4125 $11,278 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton Q4125 $11,278 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q4125 $11,278 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte Q4125 $11,278 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q4125 $11,397 [source] 4 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville Q4125 $13,475 [source] 4 years ago
Gulf Coast Regional Medical Center 449 W 23Rd St, Panama City Q4125 $13,475 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville Q4125 $14,595 [source] 4 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa Q4125 $14,595 [source] 4 years ago
Poinciana Medical Center 325 Cypress Pkwy, Kissimmee Q4125 $14,595 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota Q4125 $14,595 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo Q4125 $14,595 [source] 4 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon Q4125 $14,595 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson Q4125 $14,595 [source] 4 years ago
Central Florida Regional Hospital 1401 West Seminole Blvd, Sanford Q4125 $14,595 [source] 4 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center Q4125 $14,595 [source] 4 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami Q4125 $14,875 [source] 4 years ago
Palms Of Pasadena Hospital 1501 Pasadena Ave, Saint Petersburg Q4125 $14,963 [source] 4 years ago
Ocala Health 1431 Sw 1St Ave, Ocala Q4125 $18,011 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q4125 $20,721 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q4125 $20,721 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q4125 $20,721 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q4125 $20,721 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q4125 $20,721 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q4125 $20,721 [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.