Medical Procedure Costs

Q4015

DMEPOS item Q4015

HCPCS - DME

$10

—

Q4016

DMEPOS item Q4016

HCPCS - DME

$17

—

Q4017

DMEPOS item Q4017

HCPCS - DME

$12

—

Q4018

DMEPOS item Q4018

HCPCS - DME

$18

—

Q4019

DMEPOS item Q4019

HCPCS - DME

$6

—

Q4020

DMEPOS item Q4020

HCPCS - DME

$9

—

Q4021

DMEPOS item Q4021

HCPCS - DME

$9

—

Q4022

DMEPOS item Q4022

HCPCS - DME

$16

—

Q4023

DMEPOS item Q4023

HCPCS - DME

$4

—

Q4024

DMEPOS item Q4024

HCPCS - DME

$8

—

Q4025

DMEPOS item Q4025

HCPCS - DME

$48

—

Q4026

DMEPOS item Q4026

HCPCS - DME

$150

—

Q4027

DMEPOS item Q4027

HCPCS - DME

$24

—

Q4028

DMEPOS item Q4028

HCPCS - DME

$75

—

Q4029

DMEPOS item Q4029

HCPCS - DME

$37

—

Q4030

DMEPOS item Q4030

HCPCS - DME

$97

—

Q4031

DMEPOS item Q4031

HCPCS - DME

$18

—

Q4032

DMEPOS item Q4032

HCPCS - DME

$48

—

Q4033

DMEPOS item Q4033

HCPCS - DME

$34

—

Q4034

DMEPOS item Q4034

HCPCS - DME

$85

—

Q4035

DMEPOS item Q4035

HCPCS - DME

$17

—

Q4036

DMEPOS item Q4036

HCPCS - DME

$43

—

Q4037

DMEPOS item Q4037

HCPCS - DME

$21

—

Q4038

DMEPOS item Q4038

HCPCS - DME

$52

—

Q4039

DMEPOS item Q4039

HCPCS - DME

$11

—

Q4040

DMEPOS item Q4040

HCPCS - DME

$26

—

Q4041

DMEPOS item Q4041

HCPCS - DME

$25

—

Q4042

DMEPOS item Q4042

HCPCS - DME

$43

—

Q4043

DMEPOS item Q4043

HCPCS - DME

$13

—

Q4044

DMEPOS item Q4044

HCPCS - DME

$22

—

Q4045

DMEPOS item Q4045

HCPCS - DME

$15

—

Q4046

DMEPOS item Q4046

HCPCS - DME

$24

—

Q4047

DMEPOS item Q4047

HCPCS - DME

$7

—

Q4048

DMEPOS item Q4048

HCPCS - DME

$12

—

Q4049

DMEPOS item Q4049

HCPCS - DME

$3

—

Q4101

Apligraf

HCPCS - Temporary Codes

$127

—

Q4102

Oasis wound matrix

HCPCS - Temporary Codes

$127

—

Q4103

Oasis burn matrix

HCPCS - Temporary Codes

$127

—

Q4104

Integra bmwd

HCPCS - Temporary Codes

$127

—

Q4105

Integra drt or omnigraft

HCPCS - Temporary Codes

$127

—

Q4107

Graftjacket

HCPCS - Temporary Codes

$127

—

Q4108

Integra matrix

HCPCS - Temporary Codes

$127

—

Q4110

Primatrix

HCPCS - Temporary Codes

$127

—

Q4111

Gammagraft

HCPCS - Temporary Codes

$127

—

Q4115

Alloskin

HCPCS - Temporary Codes

$127

—

Q4116

Alloderm

HCPCS - Temporary Codes

$127

—

Q4117

Hyalomatrix

HCPCS - Temporary Codes

$127

—

Q4121

Theraskin

HCPCS - Temporary Codes

$127

—

Q4122

Dermacell, awm, porous sq cm

HCPCS - Temporary Codes

$127

—

Q4123

Alloskin

HCPCS - Temporary Codes

$127

—

My Cost List