Code: Q4180

Description:
Description: Revita, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
MEMBRANE REVITA 4X6CM
MEMBRANE REVITA 4X4CM
SKIN SUB/TRK/ARMS/>100CM
SKIN SUB/TRK/INIT 100CM
SKIN SUB/FACE EA ADD 25CM
SKIN SUB/TRK/EA ADD 25CM
SKIN SUB/FACE INIT 100CM
SKIN SUB/FACE >100CM
REVITA MEMBRANE 2X3CM
Related codes:
Code: Q4181
AMNIOWOUND 35 SQCM
Code: Q4182
Description: Transcyte, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4183
Description: Surgigraft, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4184
Description: Cellesta or cellesta duo, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4185
Description: Cellesta flowable amnion (25 mg per cc)
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4186
EPIFIX 1SQCM
Code: Q4187
EPICORD 1SQCM
Code: Q4188
Description: Amnioarmor, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4189
Description: Artacent ac, 1 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
State Average # Hospitals In Database
Wisconsin (WI) $350 2
Florida (FL) $360 8
Tennessee (TN) $537 5
New Jersey (NJ) $829 1
New York (NY) $1,084 1
California (CA) $3,065 2
District of Columbia (DC) $6,640 1
Nevada (NV) $7,553 13

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.