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
Texas
Hospital Address Code Price Last Updated
Dell Seton Medical Center At The University Of Texas 1500 Red River St, Austin Q4113 $190 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway Q4113 $482 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q4113 $2,275 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q4113 $2,275 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q4113 $6,773 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q4113 $6,773 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q4113 $6,773 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q4113 $8,724 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass Q4113 $10,504 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford Q4113 $18,480 [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 §180.