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
Texas
Hospital Address Code Price Last Updated
Texas Health Huguley 11801 South Fwy, Burleson Q4115 $20 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q4115 $20 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q4115 $20 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway Q4115 $22 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q4115 $906 [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.