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
Georgia
Hospital Address Code Price Last Updated
St. Francis Hospital 2122 Manchester Expressway, Columbus Q4116 $15 [source] 4 years ago
Wellstar Atlanta Medical Center 303 Parkway Dr Ne, Atlanta, Georgia, Atlanta Q4116 $129 [source] 4 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross Q4116 $283 [source] 4 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome Q4116 $316 [source] 4 years ago
Doctors Hospital Of Augusta 3651 Wheeler Rd, Augusta Q4116 $362 [source] 4 years ago
Memorial Health 4700 Waters Avenue, Savannah Q4116 $408 [source] 4 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville Q4116 $2,117 [source] 4 years ago
Coliseum Health System 350 Hospital Dr, Macon Q4116 $3,901 [source] 4 years ago
Eastside Medical Center 1700 Medical Way, Snellville Q4116 $19,127 [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.