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
Maryland
Hospital Address Code Price Last Updated
Upmc Western Maryland 10701 New Georges Creek Rd Sw, Frostburg Q4115 $1,093 [source] 4 years ago
The Johns Hopkins Hospital , Baltimore Q4115 $1,192 [source] 4 years ago
The Union Memorial Hospital 201 E University Pkwy, Baltimore Q4115 $2,383 [source] 4 years ago
The Good Samaritan Hospital 5601 Loch Raven Blvd, Baltimore Q4115 $2,706 [source] 4 years ago
Harbor Hospital 3001 S Hanover St, Brooklyn Q4115 $4,006 [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.