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
Michigan
Hospital Address Code Price Last Updated
Mclaren Macomb 1000 Harrington St, Mount Clemens Q4125 $204 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit Q4125 $596 [source] 4 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor Q4125 $4,566 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak Q4125 $4,566 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint Q4125 $6,988 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton Q4125 $11,028 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, Q4125 $11,028 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne Q4125 $11,028 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn Q4125 $11,028 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn Q4125 $11,028 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn Q4125 $11,028 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington Q4125 $12,857 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington Q4125 $12,857 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak Q4125 $14,682 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak Q4125 $14,682 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak Q4125 $14,682 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak Q4125 $14,682 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak Q4125 $14,682 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak Q4125 $14,682 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak Q4125 $14,682 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak Q4125 $14,682 [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.