Code: Q4126

Description:
Description: Memoderm, dermaspan, tranzgraft or integuply, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
MEMODERM 25 SQ CM
MEMODERM 32 SQ CM
MEMODERM 50 SQ CM
DERMASPAN 25SQCM
MEMODDERMTRZINT 1SQCM
DERMASPAN 0.8-1.4 5X5CM
DERMASPAN 4X8CM 0.70MM
DERMASPAN 0.9-1.99 5X10CM
DERMASPAN 0.9-1.99 6X12CM
Related codes:
Code: Q4120
Code: Q4121
THERASKIN 6SQCM
Code: Q4122
DERMACELLAWMPORO 1SQCM
Code: Q4123
ALLOSKIN RT 1SQCM
Code: Q4124
OASIS TRI MATRIX 35SQCM
Code: Q4125
ARTHROFLX 12SQCM .5M THK
Code: Q4127
Description: Talymed, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4128
FLEXALLOPMATR HD 1SQCM
State Average # Hospitals In Database
Tennessee (TN) $199 5
Kansas (KS) $230 2
Michigan (MI) $377 3
Missouri (MO) $391 2
New Hampshire (NH) $469 1
New York (NY) $1,084 1
New Jersey (NJ) $1,444 1
West Virginia (WV) $1,574 2
Maryland (MD) $1,622 4
Indiana (IN) $1,670 18
District of Columbia (DC) $1,789 1
Pennsylvania (PA) $2,483 3
California (CA) $2,616 3
Wisconsin (WI) $2,940 5
Nevada (NV) $3,490 12
Kentucky (KY) $3,787 2
New Mexico (NM) $3,960 1
Oklahoma (OK) $4,097 1
Florida (FL) $8,224 52
Louisiana (LA) $9,750 1
Texas (TX) $17,996 20

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.