HCPCS Q4212

Allogen, per cc

Current codeSkin Substitute Products7 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS Q4212 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3,5201 plan——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$3,5201 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$3,5201 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$3,5201 plan——
Swedish IssaquahIssaquahFile dated 2026-04-01$3,5201 plan——
Swedish Medical CenterSeattleFile dated 2026-04-01$3,5201 plan——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$3,5201 plan——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.