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
Florida
Hospital Address Code Price Last Updated
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale Q4115 $6 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q4115 $7 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q4115 $20 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills Q4115 $20 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q4115 $20 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala Q4115 $20 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q4115 $20 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q4115 $20 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q4115 $20 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa Q4115 $20 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q4115 $20 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills Q4115 $20 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q4115 $20 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q4115 $20 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q4115 $20 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland Q4115 $20 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q4115 $20 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City Q4115 $20 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q4115 $20 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q4115 $20 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q4115 $20 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q4115 $20 [source] 4 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales Q4115 $20 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton Q4115 $1,117 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton Q4115 $1,117 [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.