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)
North Carolina
Hospital Address Code Price Last Updated
Atrium Health University 8800 N. Tryon St. , Charlotte Q4128 $132 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q4128 $138 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q4128 $143 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q4128 $144 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q4128 $162 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q4128 $189 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q4128 $200 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q4128 $214 [source] 4 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q4128 $248 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q4128 $449 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton Q4128 $449 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q4128 $5,624 [source] 4 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q4128 $6,036 [source] 4 years ago
Harris Regional Hospital 68 Hospital Road, Sylva Q4128 $7,541 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q4128 $17,245 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q4128 $17,245 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q4128 $17,245 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q4128 $17,245 [source] 4 years ago
Carepartners Outpatient Rehab 1 Doctors Dr, Asheville Q4128 $23,535 [source] 4 years ago
Carepartners Rehabilitation Hospital 68 Sweeten Creek Rd, Asheville Q4128 $23,535 [source] 4 years ago
Mcdowell Hospital , Marion Q4128 $30,110 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q4128 $30,110 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin Q4128 $30,110 [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.