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
California
Hospital Address Code Price Last Updated
Zuckerberg San Francisco General Hospital 1001 Potrero Avenue, San Francisco Q4114 $798 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta Q4114 $3,046 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar Q4114 $3,046 [source] 4 years ago
Fountain Valley Regional Hospital 17100 Euclid At Warner, Fountain Valley Q4114 $4,892 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula Q4114 $5,992 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond Q4114 $8,805 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco Q4114 $8,805 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills Q4114 $8,805 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento Q4114 $8,805 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch Q4114 $8,805 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto Q4114 $8,805 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville Q4114 $8,805 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro Q4114 $8,805 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek Q4114 $8,805 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara Q4114 $8,805 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento Q4114 $8,805 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon Q4114 $8,805 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City Q4114 $8,805 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo Q4114 $8,805 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael Q4114 $8,805 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco Q4114 $8,805 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno Q4114 $8,805 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville Q4114 $8,805 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose Q4114 $8,805 [source] 4 years ago
Sutter Solano Medical Center 300 Hospital Dr, Vallejo Q4114 $14,692 [source] 4 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills Q4114 $15,097 [source] 4 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose Q4114 $17,845 [source] 4 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks Q4114 $26,520 [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.