Code: Q4115

Description:
Description: Alloskin, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
Graft St Tis Frzn Cadvr 5100-001
SKIN CRYOPRESERVED MESHED
SKIN CADAVERIC CRYO MESHED
SKIN CRYOPRESERVED 1/2 SQ. FT.
SKIN CRYOPRESERVED MESH 1 SQ CM
Related codes:
Code: Q4110
PRIMATRIX 64 SQCM
Code: Q4111
GAMMAGRAFT 12 SQCM
Code: Q4112
CYMETRA ALLOGRFT 1 CC
Code: Q4113
GRAFTJACKET XPRESS 1CC
Code: Q4114
INTEGRA WOUND MATRX 1 CC
Code: Q4116
ALLODERM 1SQCM
Code: Q4117
HYALOMATRIX 100SQCM
Code: Q4118
MATRISTEM MICRO 1MG 100
Code: Q4119
State Average # Hospitals In Database
New Jersey (NJ) $4 1
Hawaii (HI) $7 5
Oklahoma (OK) $13 1
Minnesota (MN) $14 1
Wisconsin (WI) $17 5
North Carolina (NC) $20 1
Kansas (KS) $20 1
Georgia (GA) $20 8
Tennessee (TN) $47 4
Florida (FL) $94 44
Ohio (OH) $97 10
Texas (TX) $198 5
Kentucky (KY) $306 4
District of Columbia (DC) $500 1
Indiana (IN) $946 14
New York (NY) $1,427 2
Maryland (MD) $2,082 6
West Virginia (WV) $3,859 1

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.