Code: Q4112

Description:
Description: Cymetra, injectable, 1 cc
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
CYMETRA INJ 1CC
MATRIX CYMETRA MAT ACELLULAR DERMIS TISSUE INJECTABLE 2ML
TISS ALLDERM THIN 4X7 SQ CM 102031
CYMETRA INJECTABLE 1 CC
SYRINGE CYMETRA 2CC
TISSUE CYMETRA
Related codes:
Code: Q4110
PRIMATRIX 64 SQCM
Code: Q4111
GAMMAGRAFT 12 SQCM
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
Texas
Hospital Address Code Price Last Updated
Dell Seton Medical Center At The University Of Texas 1500 Red River St, Austin Q4112 $190 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway Q4112 $482 [source] 4 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston Q4112 $585 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston Q4112 $1,310 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q4112 $2,616 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q4112 $3,387 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q4112 $8,724 [source] 4 years ago
Medical City Mckinney 13155 Noel Rd. Suite 200, Dallas Q4112 $12,974 [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.