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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls Q4112 $140 [source] 4 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff Q4112 $408 [source] 4 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, Q4112 $949 [source] 4 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau Q4112 $949 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh Q4112 $1,030 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee Q4112 $1,030 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton Q4112 $1,062 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand Q4112 $2,616 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee Q4112 $2,660 [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.