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

West Virginia

Hospital	Address	Code	Price	Last Updated
Logan Regional Medical Center	20 Hospital Drive, Logan	Q4126	$440 [source]	4 years ago
Montgomery General Hospital	401 6Th Ave, Montgomery	Q4126	$2,708 [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.