Code: Q4128

Description:
Description: Flex hd, allopatch hd, or matrix hd, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
ALLOPATCH PLIABLE 2.0CM X 2.0CM
ALLOPATCH PLIABLE, THIN, PER SQ CM, 2.0 X 2.0CM
MESH FLEXHD 17X10CM 7-1.4MM
GRAFT DERMAL 0.8-1.7MM 20X20CM
GRAFT DERM ULTRATHCK 25X20CM
GRAFT DERMAL 12X12CM FLEX HD
GRAFT DERMAL 8X12CM FLEX HD
GRAFT DERMAL 8X16CM FLEX HD
DERMAL 2X1CMX0.4-0.8MM FLEX HD
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: Q4126
DERMASPAN 25 SQ CM
Code: Q4127
Description: Talymed, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
State Average # Hospitals In Database
Alabama (AL) $37 3
Kansas (KS) $60 6
Missouri (MO) $99 4
Pennsylvania (PA) $156 1
Iowa (IA) $229 1
Nebraska (NE) $229 4
Tennessee (TN) $230 1
Arizona (AZ) $312 2
Wisconsin (WI) $503 8
New Mexico (NM) $635 1
Kentucky (KY) $645 1
Indiana (IN) $833 16
Virginia (VA) $911 2
New Jersey (NJ) $1,054 1
Maryland (MD) $1,604 5
New Hampshire (NH) $3,366 4
Idaho (ID) $4,168 4
Georgia (GA) $4,197 10
Connecticut (CT) $4,571 5
New York (NY) $7,821 4
California (CA) $8,442 42
Massachusetts (MA) $9,465 15
District of Columbia (DC) $12,016 1
North Carolina (NC) $12,245 26
South Carolina (SC) $17,647 6
Texas (TX) $17,789 37
Alaska (AK) $27,076 2
Florida (FL) $31,250 83
West Virginia (WV) $34,608 2
Louisiana (LA) $41,167 2
Nevada (NV) $53,047 13
Michigan (MI) $162,072 100

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.