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
North Carolina
Hospital Address Code Price Last Updated
Atrium Health University 8800 N. Tryon St. , Charlotte Q4110 $65 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q4110 $69 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q4110 $71 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q4110 $72 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q4110 $75 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton Q4110 $75 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q4110 $80 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q4110 $94 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q4110 $100 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q4110 $106 [source] 4 years ago
Wilson Medical Center 1705 Tarboro Street Sw, Wilson Q4110 $4,049 [source] 4 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q4110 $8,820 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q4110 $25,200 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q4110 $25,200 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q4110 $25,200 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q4110 $25,200 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q4110 $25,200 [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.