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
North Carolina
Hospital Address Code Price Last Updated
Harris Regional Hospital 68 Hospital Road, Sylva Q4125 $169 [source] 4 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q4125 $560 [source] 4 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte Q4125 $2,235 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q4125 $2,343 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q4125 $2,429 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q4125 $2,446 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q4125 $2,747 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q4125 $3,210 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q4125 $3,403 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q4125 $3,632 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q4125 $5,819 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton Q4125 $5,819 [source] 4 years ago
Carepartners Rehabilitation Hospital 68 Sweeten Creek Rd, Asheville Q4125 $20,930 [source] 4 years ago
Mcdowell Hospital , Marion Q4125 $22,604 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q4125 $22,604 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin Q4125 $22,604 [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.