Code: Q4116

Description:
Description: Alloderm, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
ALLODERM 185 SQCM
ALLODERM 185 SQ CM
ALLODERM 164 SQ CM
ALLODERM 240 SQ CM
ALLODERM 164 SQCM
ALLODERM SLCT 132 SQ CM
ALLODERM 327 SQ CM
ALLODERM SLCTRST 400SQCM
ALLODRM RST LPRF 327SQCM
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: Q4115
GRAFT SOFT TISSUE FROZEN CADAVER
Code: Q4117
HYALOMATRIX 100SQCM
Code: Q4118
MATRISTEM MICRO 1MG 100
Code: Q4119
State Average # Hospitals In Database
Minnesota (MN) $22 15
Illinois (IL) $29 1
North Dakota (ND) $48 1
Arizona (AZ) $121 1
Tennessee (TN) $137 4
Maine (ME) $193 1
Hawaii (HI) $520 6
Utah (UT) $593 2
Kansas (KS) $645 8
Alaska (AK) $773 2
Indiana (IN) $833 24
Idaho (ID) $845 5
Wisconsin (WI) $950 21
South Carolina (SC) $1,722 8
Mississippi (MS) $1,769 2
Virginia (VA) $2,262 3
California (CA) $2,793 42
New Jersey (NJ) $2,825 2
Missouri (MO) $3,650 9
Oklahoma (OK) $3,767 2
Georgia (GA) $3,873 12
Massachusetts (MA) $4,119 17
West Virginia (WV) $4,519 3
New Mexico (NM) $7,784 1
District of Columbia (DC) $8,005 2
Maryland (MD) $8,814 8
Alabama (AL) $8,872 5
Vermont (VT) $8,996 2
Kentucky (KY) $10,521 2
Iowa (IA) $11,871 3
Nebraska (NE) $11,871 11
Pennsylvania (PA) $12,411 2
Nevada (NV) $13,822 15
North Carolina (NC) $15,420 24
Connecticut (CT) $16,508 7
Florida (FL) $23,558 109
Louisiana (LA) $23,803 3
New Hampshire (NH) $24,217 6
Ohio (OH) $26,644 10
Texas (TX) $30,012 56
New York (NY) $34,605 4
Colorado (CO) $34,901 2
Michigan (MI) $44,937 121
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.