Code: Q4114

Description:
Description: Integra flowable wound matrix, injectable, 1 cc
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
INTEGRA FLW WM 1CC
SEALR WOUND MATRIX FLO 3 ML FWD301
INTEGRA FLOWABLE WOUND MATRIX, PER 1ML, 3 ML
INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1 CC
Related codes:
Code: Q4110
PRIMATRIX 64 SQCM
Code: Q4111
GAMMAGRAFT 12 SQCM
Code: Q4112
CYMETRA ALLOGRFT 1 CC
Code: Q4113
GRAFTJACKET XPRESS 1CC
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
Minnesota (MN) $863 14
Oklahoma (OK) $1,987 1
Indiana (IN) $2,004 16
New Jersey (NJ) $2,182 1
Connecticut (CT) $2,341 1
Illinois (IL) $2,407 7
Kansas (KS) $3,062 7
Wisconsin (WI) $3,590 17
Nebraska (NE) $3,752 11
Iowa (IA) $3,752 3
Kentucky (KY) $3,814 4
Maryland (MD) $4,168 5
Massachusetts (MA) $4,762 1
District of Columbia (DC) $4,845 1
Tennessee (TN) $5,019 6
Michigan (MI) $5,162 6
Missouri (MO) $6,864 9
New York (NY) $7,220 2
Virginia (VA) $9,363 1
California (CA) $10,369 33
Georgia (GA) $11,280 12
West Virginia (WV) $11,464 1
Florida (FL) $13,174 80
Louisiana (LA) $17,926 1
New Mexico (NM) $18,289 1
New Hampshire (NH) $21,094 2
North Carolina (NC) $21,122 13
Texas (TX) $24,558 41
Nevada (NV) $28,601 12
South Carolina (SC) $66,611 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.