Code: Q4111

Description:
Description: Gammagraft, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
GAMMAGRAFT 1SQCM
GAMMAGRAFT 62.50 SQCM
GAMMAGRAFT SKIN SUB
Related codes:
Code: Q4110
PRIMATRIX 64 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
Hawaii (HI) $7 5
Oklahoma (OK) $11 1
Maine (ME) $12 1
Kansas (KS) $14 2
Wisconsin (WI) $17 5
Illinois (IL) $19 7
Tennessee (TN) $24 5
Washington (WA) $32 1
Idaho (ID) $47 2
Kentucky (KY) $75 4
Nevada (NV) $116 2
South Carolina (SC) $130 1
District of Columbia (DC) $149 1
Georgia (GA) $274 12
Florida (FL) $293 65
Indiana (IN) $946 14
New York (NY) $1,084 1
Texas (TX) $1,360 5
North Carolina (NC) $1,891 8
Louisiana (LA) $2,737 2

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.