Code: Q4108

Description:
Description: Integra matrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
INTEGRA MATRIX 125 SQCM
INTEGRA MATRIX 1SQCM
INTEGRA MATRIX 250 SQCM
DRESSING MATRIX 2X2IN
INTEGRA MATRIX WOUND DRESSING, PER SQ CM, 10 X 12.5CM 1 PACK DOMESTIC
INTEGRA MATRIX WOUND DRESSING, PER SQ CM, 10 X 25CM 1 PACK DOMESTIC
INTEGRA MATRIX WOUND DRESSING, PER SQ CM, 20 X 25CM 1 PACK DOMESTIC
INTEGRA MATRIX WOUND DRESSING, PER SQ CM, 5 X 5CM 1 PACK DOMESTIC
INTEGRA WOUND MATRIX (THIN), PER SQ CM, 10 X 12.5CM 1 PACK DOMESTIC
Related codes:
Code: Q4100
SKIN SUBSTITUTE NOS
Code: Q4101
APLIGRAF 44 SQ CM
Code: Q4102
OASIS WND MATRX 21 SQCM
Code: Q4103
OASIS BURN MATRIX 1SQCM
Code: Q4104
INTEGRA BMWD 1SQCM
Code: Q4105
INTEGRA DRTOMNIGF 1SQCM
Code: Q4106
DERMAGRAFT 37.5 SQCM
Code: Q4107
GRAFTJACKET 8 SQCM
Code: Q4109
SKIN SUBSTITUTE TISSUEMEND PER SQ CM
North Carolina
Hospital Address Code Price Last Updated
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q4108 $220 [source] 4 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte Q4108 $9,289 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q4108 $9,737 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q4108 $10,091 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q4108 $10,166 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q4108 $11,415 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q4108 $13,337 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q4108 $14,139 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q4108 $15,090 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q4108 $18,470 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton Q4108 $18,470 [source] 4 years ago
Carepartners Rehabilitation Hospital 68 Sweeten Creek Rd, Asheville Q4108 $20,738 [source] 4 years ago
Mcdowell Hospital , Marion Q4108 $22,397 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q4108 $22,397 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin Q4108 $22,397 [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.