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
Florida
Hospital Address Code Price Last Updated
Adventhealth Deland 701 W. Plymouth Avenue, Deland Q4114 $4,733 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills Q4114 $4,733 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q4114 $4,733 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala Q4114 $4,733 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q4114 $4,733 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa Q4114 $4,733 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills Q4114 $4,733 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q4114 $4,733 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q4114 $4,733 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City Q4114 $4,733 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q4114 $4,733 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q4114 $4,733 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q4114 $4,733 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q4114 $4,733 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q4114 $4,733 [source] 4 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales Q4114 $4,733 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach Q4114 $9,016 [source] 4 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville Q4114 $9,297 [source] 4 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park Q4114 $9,736 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo Q4114 $14,224 [source] 4 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale Q4114 $14,934 [source] 4 years ago
Ocala Health 1431 Sw 1St Ave, Ocala Q4114 $15,116 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton Q4114 $15,918 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton Q4114 $15,918 [source] 4 years ago
Citrus Memorial Hospital 502 W. Highland Blvd, Inverness Q4114 $16,362 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville Q4114 $16,362 [source] 4 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon Q4114 $16,362 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson Q4114 $16,362 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton Q4114 $16,362 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota Q4114 $16,362 [source] 4 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa Q4114 $16,362 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q4114 $16,362 [source] 4 years ago
Jfk Medical Center - North Campus 2201 45Th St, West Palm Beach Q4114 $16,617 [source] 4 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth Q4114 $16,617 [source] 4 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee Q4114 $16,876 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q4114 $18,211 [source] 4 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami Q4114 $18,646 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q4114 $18,946 [source] 4 years ago
Plantation General Hospital 401 Nw 42 Ave, Fort Lauderdale Q4114 $19,509 [source] 4 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee Q4114 $19,569 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami Q4114 $20,070 [source] 4 years ago
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale Q4114 $20,070 [source] 4 years ago
Poinciana Medical Center 325 Cypress Pkwy, Kissimmee Q4114 $21,082 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q4114 $33,111 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q4114 $33,111 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q4114 $33,111 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q4114 $33,111 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q4114 $33,111 [source] 4 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach Q4114 $49,894 [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.