Code: Q4117

Description:
Description: Hyalomatrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
HYALOMATRIX 1SQCM
HYALOMATRIX 200SQCM
HYALOMATRIX 25SQCM
DRSNG HYALOMATRIX WND PER SQ CM (18X20CM)
DRESSING HYALOMATRIX 2.5X2.5CM
HYALOMATRIX NON SIL 10X20CM (PER 1 CM)
HYALOMATRIX NON SIL 10X10CM (PER 1 CM)
HYALOMATRIX 10 SQCM
HYALOMATRIX 5.0 SQCM
Related codes:
Code: Q4110
PRIMATRIX 64 SQCM
Code: Q4111
GAMMAGRAFT 12 SQCM
Code: Q4112
CYMETRA ALLOGRFT 1 CC
Code: Q4113
GRAFTJACKET XPRESS 1CC
Code: Q4114
INTEGRA WOUND MATRX 1 CC
Code: Q4115
GRAFT SOFT TISSUE FROZEN CADAVER
Code: Q4116
ALLODERM 1SQCM
Code: Q4118
MATRISTEM MICRO 1MG 100
Code: Q4119
Nevada
Hospital Address Code Price Last Updated
Valley Hospital Medical Center 620 Shadow Lane, Las Vegas Q4117 $158 [source] 4 years ago
Sunrise Hospital & Medical Center 3186 S Maryland Pkwy, Las Vegas Q4117 $197 [source] 4 years ago
Spring Valley Medical Center 5400 S Rainbow Blvd, Las Vegas Q4117 $391 [source] 4 years ago
Centennial Hills Hospital Medical Center 6900 N Durango Drive, Las Vegas Q4117 $391 [source] 4 years ago
Summerlin Hospital Medical Center 657 Town Center Dr, Las Vegas Q4117 $391 [source] 4 years ago
Desert Springs Hospital 2075 E Flamingo Rd, Las Vegas Q4117 $743 [source] 4 years ago
Henderson Hospital 1050 West Galleria Drive, Henderson Q4117 $929 [source] 4 years ago
Desert View Regional Medical Center 360 S Lola Ln, Pahrump Q4117 $5,013 [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.