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
Missouri
Hospital Address Code Price Last Updated
Hedrick Medical Center 2799 N Washington St, Chillicothe Q4110 $77 [source] 4 years ago
Saint Luke’s North Hospital 5830 Nw Barry Rd, Kansas City Q4110 $105 [source] 4 years ago
Saint Luke’s Hospital 4401 Wornall Rd, Kansas City Q4110 $151 [source] 4 years ago
Research Medical Center 2316 E Meyer Blvd, Kansas City Q4110 $151 [source] 4 years ago
Centerpoint Medical Center 19600 East 39Th Street, Independence Q4110 $166 [source] 4 years ago
Saint Luke’s East Hospital 100 Ne Saint Luke's Blvd, Lees Summit Q4110 $166 [source] 4 years ago
Belton Regional Medical Center 17065 S. 71 Highway, Belton Q4110 $5,712 [source] 4 years ago
Lee's Summit Medical Center 2100 Se Blue Parkway, Lees Summit Q4110 $10,800 [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.