| Q4205 | Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) | 190 | $1,160 | $224.5K |
| Q4159 | Affinity, per square centimeter (add-on, list separately in addition to primary procedure) | 320 | $290 | $90.7K |
| Q4158 | Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure) | 570 | $150 | $85.1K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 1,300 | $50 | $58.3K |
| Q4197 | Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) | 470 | $120 | $53.9K |
| Q4186 | Epifix, per square centimeter (add-on, list separately in addition to primary procedure) | 400 | $120 | $46.6K |
| 11045 | The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately… | 1,330 | $20 | $25.3K |
| 15275 | The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to… | 130 | $90 | $11.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 240 | $50 | $11.2K |
| 15271 | The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2. | 130 | $80 | $10.8K |