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
Texas
Hospital Address Code Price Last Updated
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey Q4125 $141 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving Q4125 $141 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney Q4125 $141 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco Q4125 $141 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth Q4125 $141 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano Q4125 $141 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas Q4125 $141 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie Q4125 $141 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett Q4125 $141 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine Q4125 $148 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton Q4125 $164 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano Q4125 $164 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano Q4125 $164 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor Q4125 $359 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy Q4125 $359 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls Q4125 $359 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station Q4125 $383 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda Q4125 $407 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville Q4125 $407 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin Q4125 $407 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham Q4125 $407 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple Q4125 $599 [source] 4 years ago
Mission Trail Baptist Hospital 3333 Research Plaza, San Antonio Q4125 $874 [source] 4 years ago
Baptist Medical Center 111 Dallas St., San Antonio Q4125 $874 [source] 4 years ago
St. Luke's Baptist Hospital 7930 Floyd Curl Dr., San Antonio Q4125 $874 [source] 4 years ago
Northeast Baptist Hospital 8811 Village Dr., San Antonio Q4125 $874 [source] 4 years ago
North Central Baptist Hospital 520 Madison Oak Dr., San Antonio Q4125 $874 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass Q4125 $912 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison Q4125 $1,723 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving Q4125 $2,146 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q4125 $2,459 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q4125 $2,459 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q4125 $2,459 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo Q4125 $2,848 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q4125 $4,300 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston Q4125 $12,493 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi Q4125 $13,276 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth Q4125 $38,318 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas Q4125 $38,318 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco Q4125 $45,696 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville Q4125 $45,987 [source] 4 years ago
St. David's Healthcare , Round Rock Q4125 $56,980 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth Q4125 $66,159 [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 §180.