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
Hawaii
Hospital Address Code Price Last Updated
Hale Ho'ola Hamakua 100 Keokea Pl, Kula Q4113 $920 [source] 4 years ago
Kau Hospital 1 Kamani Street, Pahala Q4113 $920 [source] 4 years ago
Kohala Hospital 54 383 Hospital Road, Kapaau Q4113 $920 [source] 4 years ago
Hilo Medical Center 1190 Waianuenue Ave, Hilo Q4113 $920 [source] 4 years ago
Kona Community Hospital 79-1019 Haukapila St, Kealakekua Q4113 $920 [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.