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
Massachusetts
Hospital Address Code Price Last Updated
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs Q4110 $155 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston Q4110 $155 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge Q4110 $594 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich Q4110 $594 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton Q4110 $594 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem Q4110 $594 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket Q4110 $594 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont Q4110 $594 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain Q4110 $594 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown Q4110 $594 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls Q4110 $594 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston Q4110 $991 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston Q4110 $5,766 [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.