Code: Q4100

Description:
Description: Skin substitute, not otherwise specified
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
GRAFT SKIN KIT SPLIT THK
GRAFT SKN CRYO 75 SQ CM
GRAFT TIS ACTISHLD 4X4CM
GFT SKN MSH CRYO 464SQCM
GRFT SKN 2:1 MSH 800SQCM
SKIN SUBSTITUE NOS
PATCH DURAMATRIX-ONLAY COLLAGEN MATRIX 2X2IN DURAL CONFORMABLE RESORBABLE
PATCH DURAMATRIX-ONLAY COLLAGEN MATRIX 1X1IN DURAL CONFORMABLE RESORBABLE
PATCH DUREPAIR BOVINE COLLAGEN MATRIX 3X1IN DURAL RESORBABLE DURAPLASTY
Related codes:
Code: Q4101
APLIGRAF 44 SQ CM
Code: Q4102
OASIS WND MATRX 21 SQCM
Code: Q4103
OASIS BURN MATRIX 1SQCM
Code: Q4104
INTEGRA BMWD 1SQCM
Code: Q4105
INTEGRA DRTOMNIGF 1SQCM
Code: Q4106
DERMAGRAFT 37.5 SQCM
Code: Q4107
GRAFTJACKET 8 SQCM
Code: Q4108
INTEGRA MATRIX 25 SQCM
Code: Q4109
SKIN SUBSTITUTE TISSUEMEND PER SQ CM
Maryland
Hospital Address Code Price Last Updated
Upmc Western Maryland 10701 New Georges Creek Rd Sw, Frostburg Q4100 $1,003 [source] 4 years ago
The Union Memorial Hospital 201 E University Pkwy, Baltimore Q4100 $2,762 [source] 4 years ago
The Good Samaritan Hospital 5601 Loch Raven Blvd, Baltimore Q4100 $3,067 [source] 4 years ago
Howard County General Hospital 5755 Cedar Ln, Columbia Q4100 $3,731 [source] 4 years ago
Harbor Hospital 3001 S Hanover St, Brooklyn Q4100 $3,948 [source] 4 years ago
Grace Medical Center 2000 W Baltimore St, Baltimore Q4100 $7,119 [source] 4 years ago
Suburban Hospital , Bethesda Q4100 $9,046 [source] 4 years ago
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.