Code: Q4110

Description:
Description: Primatrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
PRIMATRIX 16 SQCM
PRIMATRIX 36 SQCM
PRIMATRIX 96 SQCM
PRIMATRIX 96SQCM
PRIMATRIX 1SQCM
PRIMATRIX 120 SQCM
GRAFT PRIMATRIX MESHED 10X25 607-005-125
PRIMATRIX AG 2:1 MESHED, PER SQ CM, 6 X 6CM
PRIMATRIX AG MESHED, PER SQ CM, 10 X 25CM
Related codes:
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: Q4116
ALLODERM 1SQCM
Code: Q4117
HYALOMATRIX 100SQCM
Code: Q4118
MATRISTEM MICRO 1MG 100
Code: Q4119
State Average # Hospitals In Database
New Jersey (NJ) $16 1
Minnesota (MN) $28 14
Hawaii (HI) $45 5
Illinois (IL) $97 7
Tennessee (TN) $126 6
Alabama (AL) $131 1
Rhode Island (RI) $170 2
Kentucky (KY) $196 3
Louisiana (LA) $225 2
Wisconsin (WI) $337 13
Idaho (ID) $511 2
Wyoming (WY) $606 2
Utah (UT) $715 2
Indiana (IN) $796 22
California (CA) $962 30
Massachusetts (MA) $980 14
Georgia (GA) $1,016 4
New Hampshire (NH) $1,245 5
Virginia (VA) $1,520 2
Kansas (KS) $1,568 8
New Mexico (NM) $1,971 1
Connecticut (CT) $2,156 4
District of Columbia (DC) $2,461 2
Michigan (MI) $2,537 130
Oklahoma (OK) $2,565 2
Missouri (MO) $2,828 10
West Virginia (WV) $3,765 4
Nevada (NV) $5,106 10
New York (NY) $5,120 3
Maryland (MD) $5,390 9
Iowa (IA) $6,500 3
Nebraska (NE) $6,500 11
Colorado (CO) $7,392 2
North Carolina (NC) $8,216 17
South Carolina (SC) $11,170 3
Florida (FL) $13,880 87
Texas (TX) $15,823 25

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.