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
Kansas
Hospital Address Code Price Last Updated
Ascension Via Christi Hospital Manhattan, Inc. 1823 College Ave, Manhattan Q4114 $1,254 [source] 4 years ago
Saint Luke’s South Hospital 12300 Metcalf Ave, Shawnee Mission Q4114 $1,601 [source] 4 years ago
Overland Park Regional Medical Center 10500 Quivira Road, Shawnee Mission Q4114 $3,327 [source] 4 years ago
Menorah Medical Center 5721 W. 119Th Street, Shawnee Mission Q4114 $3,597 [source] 4 years ago
Adventhealth Ransom Memorial, Inc. 1301 S Main St , Ottawa Q4114 $4,733 [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.