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
Massachusetts
Hospital Address Code Price Last Updated
North Shore Medical Center Hospital 81 Highland Ave, Salem Q4116 $91 [source] 4 years ago
Saint Vincent Hospital 123 Summer St., Worcester Q4116 $167 [source] 4 years ago
Metrowest Medical Center - Framingham Union Hospital 115 Lincoln Street, Framingham Q4116 $209 [source] 4 years ago
Metrowest Medical Center - Leonard Morse Hospital 67 Union Street, Natick Q4116 $209 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls Q4116 $693 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich Q4116 $1,113 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket Q4116 $1,113 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont Q4116 $1,113 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston Q4116 $1,218 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain Q4116 $3,588 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown Q4116 $5,368 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs Q4116 $7,240 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston Q4116 $8,230 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge Q4116 $12,215 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton Q4116 $12,215 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston Q4116 $13,893 [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.