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
Ohio
Hospital Address Code Price Last Updated
Euclid Hospital 18901 Lakeshore Blvd., Cleveland Q4115 $4 [source] 4 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland Q4115 $4 [source] 4 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland Q4115 $4 [source] 4 years ago
Medina Hospital 1000 E. Washington St., Medina Q4115 $6 [source] 4 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland Q4115 $6 [source] 4 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland Q4115 $6 [source] 4 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland Q4115 $8 [source] 4 years ago
Akron General Lodi Hospital 225 Elyria St., Lodi Q4115 $18 [source] 4 years ago
Akron General 1 Akron General Ave., Akron Q4115 $18 [source] 4 years ago
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland Q4115 $896 [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.