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
South Carolina
Hospital Address Code Price Last Updated
Providence Health 2435 Forest Drive, Columbia Q4116 $157 [source] 4 years ago
Providence Health Northeast 120 Gateway Corporate Blvd, Columbia Q4116 $157 [source] 4 years ago
Colleton Medical Center 501 Robertson Blvd, Walterboro Q4116 $532 [source] 4 years ago
Grand Strand Medical Center 809 82Nd Pkwy, Myrtle Beach Q4116 $657 [source] 4 years ago
Trident Medical Center 9330 Medical Plaza Dr., Charleston Q4116 $2,216 [source] 4 years ago
Aiken Regional Medical Centers 302 University Parkway, Aiken Q4116 $8,870 [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.