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
Hawaii
Hospital Address Code Price Last Updated
Hale Ho'ola Hamakua 100 Keokea Pl, Kula Q4111 $7 [source] 4 years ago
Kau Hospital 1 Kamani Street, Pahala Q4111 $7 [source] 4 years ago
Kohala Hospital 54 383 Hospital Road, Kapaau Q4111 $7 [source] 4 years ago
Hilo Medical Center 1190 Waianuenue Ave, Hilo Q4111 $7 [source] 4 years ago
Kona Community Hospital 79-1019 Haukapila St, Kealakekua Q4111 $7 [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.