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
North Carolina
Hospital Address Code Price Last Updated
Rutherford Regional Health System 288 S. Ridgecrest Avenue, Rutherfordton Q4100 $828 [source] 4 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte Q4100 $2,353 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q4100 $2,466 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q4100 $2,556 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q4100 $2,575 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q4100 $2,892 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q4100 $3,378 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q4100 $3,582 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q4100 $3,823 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton Q4100 $6,348 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q4100 $6,348 [source] 4 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q4100 $12,203 [source] 4 years ago
Carepartners Outpatient Rehab 1 Doctors Dr, Asheville Q4100 $15,125 [source] 4 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q4100 $16,821 [source] 4 years ago
Carepartners Rehabilitation Hospital 68 Sweeten Creek Rd, Asheville Q4100 $16,977 [source] 4 years ago
Mcdowell Hospital , Marion Q4100 $18,334 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q4100 $18,334 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin Q4100 $18,334 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q4100 $48,060 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q4100 $48,060 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q4100 $48,060 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q4100 $48,060 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q4100 $48,060 [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.