Code: Q4118

Description:
Description: Matristem micromatrix, 1 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
MATRISTEM MICRO 1MG 500
MATRISTEM MICROMATRX 1MG
WOUND SHEET MATRI 3X7
MATRISTEM MICRO 1MG 200
MATRISTEM MICRO 1MG 1000
MATRISTEM MICRO 1 MG
MATRISTEM MICRO 1MG 30MG
MATRISTEM MCRMATRX 100MG
GRAFT MATRISTEM MICROMATRIX PORCINE URINARY BLADDER EXTRACELLULAR MATRIX
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: Q4117
HYALOMATRIX 100SQCM
Code: Q4119
Massachusetts
Hospital Address Code Price Last Updated
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain Q4118 $10 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls Q4118 $10 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton Q4118 $11 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket Q4118 $11 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont Q4118 $11 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston Q4118 $45 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs Q4118 $1,120 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge Q4118 $1,120 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston Q4118 $1,120 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich Q4118 $1,120 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem Q4118 $1,120 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown Q4118 $1,120 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston Q4118 $1,120 [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.