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
Michigan
Hospital Address Code Price Last Updated
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe Q4110 $34 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens Q4110 $53 [source] 4 years ago
Aspirus Keweenaw Hospital 205 Osceola Street, Calumet Q4110 $66 [source] 4 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer Q4110 $85 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette Q4110 $130 [source] 4 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing Q4110 $188 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant Q4110 $201 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy Q4110 $308 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy Q4110 $308 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy Q4110 $308 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor Q4110 $806 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak Q4110 $806 [source] 4 years ago
Midmichigan Medical Center Gladwin , Gladwin Q4110 $1,146 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren Q4110 $1,901 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester Q4110 $2,182 [source] 4 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma Q4110 $2,286 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak Q4110 $2,590 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak Q4110 $2,590 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak Q4110 $2,590 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak Q4110 $2,590 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak Q4110 $2,590 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak Q4110 $2,590 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak Q4110 $2,590 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak Q4110 $2,590 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington Q4110 $2,590 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield Q4110 $3,305 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren Q4110 $3,708 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington Q4110 $4,469 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn Q4110 $7,635 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton Q4110 $7,635 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, Q4110 $7,635 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn Q4110 $7,635 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne Q4110 $7,635 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn Q4110 $7,635 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint Q4110 $8,485 [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 §180.