Code: Q4180

Description:
Description: Revita, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
MEMBRANE REVITA 4X6CM
MEMBRANE REVITA 4X4CM
SKIN SUB/TRK/ARMS/>100CM
SKIN SUB/TRK/INIT 100CM
SKIN SUB/FACE EA ADD 25CM
SKIN SUB/TRK/EA ADD 25CM
SKIN SUB/FACE INIT 100CM
SKIN SUB/FACE >100CM
REVITA MEMBRANE 2X3CM
Related codes:
Code: Q4181
AMNIOWOUND 35 SQCM
Code: Q4182
Description: Transcyte, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4183
Description: Surgigraft, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4184
Description: Cellesta or cellesta duo, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4185
Description: Cellesta flowable amnion (25 mg per cc)
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4186
EPIFIX 1SQCM
Code: Q4187
EPICORD 1SQCM
Code: Q4188
Description: Amnioarmor, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4189
Description: Artacent ac, 1 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Nevada
Hospital Address Code Price Last Updated
Mountainview Hospital 3100 N Tenaya Way, Las Vegas Q4180 $3,214 [source] 4 years ago
Southern Hills Hospital & Medical Center 9300 W Sunset Rd, Las Vegas Q4180 $3,885 [source] 4 years ago
Summerlin Hospital Medical Center 657 Town Center Dr, Las Vegas Q4180 $3,900 [source] 4 years ago
Northern Nevada Medical Center 2375 E Prater Way, Sparks Q4180 $4,600 [source] 4 years ago
Desert Springs Hospital 2075 E Flamingo Rd, Las Vegas Q4180 $5,820 [source] 4 years ago
Spring Valley Medical Center 5400 S Rainbow Blvd, Las Vegas Q4180 $5,820 [source] 4 years ago
Valley Hospital Medical Center 620 Shadow Lane, Las Vegas Q4180 $5,820 [source] 4 years ago
Henderson Hospital 1050 West Galleria Drive, Henderson Q4180 $7,337 [source] 4 years ago
Centennial Hills Hospital Medical Center 6900 N Durango Drive, Las Vegas Q4180 $7,337 [source] 4 years ago
Sunrise Hospital & Medical Center 3186 S Maryland Pkwy, Las Vegas Q4180 $21,677 [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.