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
South Carolina
Hospital Address Code Price Last Updated
Providence Health 2435 Forest Drive, Columbia Q4113 $1,853 [source] 4 years ago
Providence Health Northeast 120 Gateway Corporate Blvd, Columbia Q4113 $1,853 [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.