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
Ohio
Hospital Address Code Price Last Updated
Euclid Hospital 18901 Lakeshore Blvd., Cleveland Q4125 $7,105 [source] 4 years ago
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland Q4125 $7,105 [source] 4 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland Q4125 $7,105 [source] 4 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland Q4125 $7,105 [source] 4 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland Q4125 $7,107 [source] 4 years ago
Medina Hospital 1000 E. Washington St., Medina Q4125 $8,881 [source] 4 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland Q4125 $10,657 [source] 4 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland Q4125 $10,657 [source] 4 years ago
Akron General Lodi Hospital 225 Elyria St., Lodi Q4125 $18,792 [source] 4 years ago
Akron General 1 Akron General Ave., Akron Q4125 $18,792 [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.