Code: Q4101

Description:
Description: Apligraf, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
Apligraf 7.5 Cm
GRAFT APLIGRAF 7.5CM BOVINE COLLAGEN MATRIX HUMAN FIBROBLAST .75MM SKIN
Drsg Apligraf (free) Per Sq Cm
APLIGRAF 44CM PER SQ CM
SKIN GRAFT, APLIGRAF
APLIGRAF 44.2 PER SQCM
HC APLIGRAF PER SQ CM
APLIGRAF PER SQ CM
APLIGRAF N/MCARE 1 UNIT Q
Related codes:
Code: Q4100
SKIN SUBSTITUTE NOS
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
Central Carolina Hospital 1135 Carthage Street, Sanford Q4101 $40 [source] 4 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte Q4101 $52 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q4101 $53 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton Q4101 $53 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q4101 $55 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q4101 $57 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q4101 $57 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q4101 $65 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q4101 $75 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q4101 $80 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q4101 $85 [source] 4 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q4101 $147 [source] 4 years ago
Frye Regional Medical Center 420 N. Center Street, Hickory Q4101 $148 [source] 4 years ago
Wilson Medical Center 1705 Tarboro Street Sw, Wilson Q4101 $171 [source] 4 years ago
Rutherford Regional Health System 288 S. Ridgecrest Avenue, Rutherfordton Q4101 $190 [source] 4 years ago
Harris Regional Hospital 68 Hospital Road, Sylva Q4101 $1,540 [source] 4 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q4101 $1,632 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q4101 $4,662 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q4101 $4,662 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q4101 $4,662 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q4101 $4,662 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q4101 $4,662 [source] 4 years ago
Mcdowell Hospital , Marion Q4101 $7,357 [source] 4 years ago
Carepartners Rehabilitation Hospital 68 Sweeten Creek Rd, Asheville Q4101 $7,357 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q4101 $7,357 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin Q4101 $7,357 [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.