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
North Carolina
Hospital Address Code Price Last Updated
Atrium Health University 8800 N. Tryon St. , Charlotte Q4113 $1,687 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q4113 $1,694 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton Q4113 $1,694 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q4113 $1,769 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q4113 $1,833 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q4113 $1,846 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q4113 $2,073 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q4113 $2,422 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q4113 $2,568 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q4113 $2,741 [source] 4 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q4113 $4,206 [source] 4 years ago
Carepartners Rehabilitation Hospital 68 Sweeten Creek Rd, Asheville Q4113 $8,690 [source] 4 years ago
Mcdowell Hospital , Marion Q4113 $9,385 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q4113 $9,385 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin Q4113 $9,385 [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.