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
North Carolina
Hospital Address Code Price Last Updated
Atrium Health University 8800 N. Tryon St. , Charlotte Q4116 $495 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q4116 $519 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q4116 $538 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q4116 $542 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q4116 $609 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q4116 $711 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q4116 $754 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q4116 $805 [source] 4 years ago
Rutherford Regional Health System 288 S. Ridgecrest Avenue, Rutherfordton Q4116 $4,854 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton Q4116 $7,294 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q4116 $7,294 [source] 4 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q4116 $11,632 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q4116 $13,709 [source] 4 years ago
Carepartners Rehabilitation Hospital 68 Sweeten Creek Rd, Asheville Q4116 $25,051 [source] 4 years ago
Mcdowell Hospital , Marion Q4116 $27,055 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q4116 $27,055 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin Q4116 $27,055 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q4116 $33,235 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q4116 $33,235 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q4116 $33,235 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q4116 $33,235 [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.