Code: Q4113

Description:
Description: Graftjacket xpress, injectable, 1 cc
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
Graft Jacket Xpress 1cc
GRFTJCKT XPRSS FLW 2ML PER 1CC
GRAFTJACKET XPRESS INJECTABLE 1 CC
Related codes:
Code: Q4110
PRIMATRIX 64 SQCM
Code: Q4111
GAMMAGRAFT 12 SQCM
Code: Q4112
CYMETRA ALLOGRFT 1 CC
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
New Jersey (NJ) $263 1
Oklahoma (OK) $673 1
Illinois (IL) $827 7
Hawaii (HI) $920 5
Indiana (IN) $946 14
New York (NY) $1,077 1
Kentucky (KY) $1,236 2
Maryland (MD) $1,500 2
California (CA) $1,706 25
South Carolina (SC) $1,853 2
Ohio (OH) $1,936 1
Nebraska (NE) $2,112 4
Iowa (IA) $2,112 1
Wisconsin (WI) $2,242 13
District of Columbia (DC) $2,626 1
New Mexico (NM) $3,235 1
Kansas (KS) $3,406 4
Tennessee (TN) $4,050 6
Missouri (MO) $4,840 1
North Carolina (NC) $4,974 18
Florida (FL) $5,504 66
Colorado (CO) $6,220 2
Texas (TX) $6,366 11
Nevada (NV) $12,115 7
Georgia (GA) $15,850 1

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.