Code: Q4102

Description:
Description: Oasis wound matrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
OASIS WND MATRX 11 SQCM
DRESSING OASIS ULTRA PORCINE SMALL INTESTINE SUBMUCOSA 3.5X3CM BIOLOGICAL 3
Oasis Wound Matrix,8213100015
DRESSING OASIS PORCINE SMALL INTESTINE SUBMUCOSA 3.5X3CM BIOLOGICAL WOUND
DRESSING OASIS PORCINE SMALL INTESTINE SUBMUCOSA 7X3CM BIOLOGICAL WOUND
HC OASIS WOUND MATRIX PER SQ CM
OASIS WOUND MATRIX FENESTRATED, PER SQ CM, 3 X 7CM PAD
OASIS WOUND MATRIX PER SQ CM
HC OASIS WOUND MATRX PER SQ CM
Related codes:
Code: Q4100
SKIN SUBSTITUTE NOS
Code: Q4101
APLIGRAF 44 SQ CM
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
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q4102 $4 [source] 4 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q4102 $10 [source] 4 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte Q4102 $19 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q4102 $19 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton Q4102 $19 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q4102 $19 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q4102 $20 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q4102 $20 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q4102 $23 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q4102 $27 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q4102 $28 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q4102 $30 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q4102 $30 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q4102 $30 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q4102 $30 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q4102 $30 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q4102 $30 [source] 4 years ago
Carepartners Rehabilitation Hospital 68 Sweeten Creek Rd, Asheville Q4102 $1,364 [source] 4 years ago
Mcdowell Hospital , Marion Q4102 $1,473 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q4102 $1,473 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin Q4102 $1,473 [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.