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
Nevada
Hospital Address Code Price Last Updated
Renown Regional Medical Center 1155 Mill Street, Reno Q4116 $98 [source] 4 years ago
Renown South Meadows Medical Center 10101 Double R Blvd, Reno Q4116 $98 [source] 4 years ago
Southern Hills Hospital & Medical Center 9300 W Sunset Rd, Las Vegas Q4116 $601 [source] 4 years ago
Mountainview Hospital 3100 N Tenaya Way, Las Vegas Q4116 $865 [source] 4 years ago
Sunrise Hospital & Medical Center 3186 S Maryland Pkwy, Las Vegas Q4116 $885 [source] 4 years ago
Northern Nevada Medical Center 2375 E Prater Way, Sparks Q4116 $15,763 [source] 4 years ago
Summerlin Hospital Medical Center 657 Town Center Dr, Las Vegas Q4116 $21,545 [source] 4 years ago
Valley Hospital Medical Center 620 Shadow Lane, Las Vegas Q4116 $25,343 [source] 4 years ago
Henderson Hospital 1050 West Galleria Drive, Henderson Q4116 $26,641 [source] 4 years ago
Centennial Hills Hospital Medical Center 6900 N Durango Drive, Las Vegas Q4116 $26,641 [source] 4 years ago
Spring Valley Medical Center 5400 S Rainbow Blvd, Las Vegas Q4116 $37,292 [source] 4 years ago
Desert Springs Hospital 2075 E Flamingo Rd, Las Vegas Q4116 $49,206 [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.