| Q4001 | Cast sup body cast plaster |
| Q4002 | Cast sup body cast fiberglas |
| Q4003 | Cast sup shoulder cast plstr |
| Q4004 | Cast sup shoulder cast fbrgl |
| Q4005 | Cast sup long arm adult plst |
| Q4006 | Cast sup long arm adult fbrg |
| Q4007 | Cast sup long arm ped plster |
| Q4008 | Cast sup long arm ped fbrgls |
| Q4009 | Cast sup sht arm adult plstr |
| Q4010 | Cast sup sht arm adult fbrgl |
| Q4011 | Cast sup sht arm ped plaster |
| Q4012 | Cast sup sht arm ped fbrglas |
| Q4013 | Cast sup gauntlet plaster |
| Q4014 | Cast sup gauntlet fiberglass |
| Q4015 | Cast sup gauntlet ped plster |
| Q4016 | Cast sup gauntlet ped fbrgls |
| Q4017 | Cast sup lng arm splint plst |
| Q4018 | Cast sup lng arm splint fbrg |
| Q4019 | Cast sup lng arm splnt ped p |
| Q4020 | Cast sup lng arm splnt ped f |
| Q4021 | Cast sup sht arm splint plst |
| Q4022 | Cast sup sht arm splint fbrg |
| Q4023 | Cast sup sht arm splnt ped p |
| Q4024 | Cast sup sht arm splnt ped f |
| Q4025 | Cast sup hip spica plaster |
| Q4026 | Cast sup hip spica fiberglas |
| Q4027 | Cast sup hip spica ped plstr |
| Q4028 | Cast sup hip spica ped fbrgl |
| Q4029 | Cast sup long leg plaster |
| Q4030 | Cast sup long leg fiberglass |
| Q4031 | Cast sup lng leg ped plaster |
| Q4032 | Cast sup lng leg ped fbrgls |
| Q4033 | Cast sup lng leg cylinder pl |
| Q4034 | Cast sup lng leg cylinder fb |
| Q4035 | Cast sup lngleg cylndr ped p |
| Q4036 | Cast sup lngleg cylndr ped f |
| Q4037 | Cast sup shrt leg plaster |
| Q4038 | Cast sup shrt leg fiberglass |
| Q4039 | Cast sup shrt leg ped plster |
| Q4040 | Cast sup shrt leg ped fbrgls |
| Q4041 | Cast sup lng leg splnt plstr |
| Q4042 | Cast sup lng leg splnt fbrgl |
| Q4043 | Cast sup lng leg splnt ped p |
| Q4044 | Cast sup lng leg splnt ped f |
| Q4045 | Cast sup sht leg splnt plstr |
| Q4046 | Cast sup sht leg splnt fbrgl |
| Q4047 | Cast sup sht leg splnt ped p |
| Q4048 | Cast sup sht leg splnt ped f |
| Q4049 | Finger splint, static |
| Q4050 | Cast supplies unlisted |
| Q4051 | Splint supplies misc |
| Q4074 | Iloprost non-comp unit dose |
| Q4081 | Epoetin alfa, 100 units esrd |
| Q4082 | Drug/bio noc part b drug cap |
| Q4100 | Skin substitute, nos |
| Q4101 | Apligraf |
| Q4102 | Oasis wound matrix |
| Q4103 | Oasis burn matrix |
| Q4104 | Integra bmwd |
| Q4105 | Integra drt |
| Q4106 | Dermagraft |
| Q4107 | Graftjacket |
| Q4108 | Integra matrix |
| Q4109 | Tissuemend skin sub |
| Q4110 | Primatrix |
| Q4111 | Gammagraft |
| Q4112 | Cymetra injectable |
| Q4113 | Graftjacket xpress |
| Q4114 | Integra flowable wound matri |
| Q4115 | Alloskin |
| Q4116 | Alloderm |
| Q4117 | Hyalomatrix |
| Q4118 | Matristem micromatrix |
| Q4119 | Matristem wound matrix |
| Q4120 | Matristem burn matrix |
| Q4121 | Theraskin |
| Q4122 | Dermacell |
| Q4123 | Alloskin |
| Q4124 | Oasis tri-layer wound matrix |
| Q4125 | Arthroflex |
| Q4126 | Memoderm/derma/tranz/integup |
| Q4127 | Talymed |
| Q4128 | Flexhd/allopatchhd/matrixhd |
| Q4129 | Unite biomatrix |
| Q4130 | Strattice tm |
| Q4131 | Epifix |
| Q4132 | Grafix core |
| Q4133 | Grafix prime |
| Q4134 | Hmatrix |
| Q4135 | Mediskin |
| Q4136 | Ezderm |
| Q4137 | Amnioexcel or biodexcel, 1cm |
| Q4138 | Biodfence dryflex, 1cm |
| Q4139 | Amnio or biodmatrix, inj 1cc |
| Q4140 | Biodfence 1cm |
| Q4141 | Alloskin ac, 1 cm |
| Q4142 | Xcm biologic tiss matrix 1cm |
| Q4143 | Repriza, 1cm |
| Q4145 | Epifix, inj, 1mg |
| Q4146 | Tensix, 1cm |
| Q4147 | Architect ecm, 1cm |
| Q4148 | Neox 1k, 1cm |
| Q4149 | Excellagen, 0.1 cc |
