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
Michigan
Hospital Address Code Price Last Updated
St. John Providence 28000 Dequindre Rd, Warren Q4118 $4 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester Q4118 $4 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield Q4118 $7 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren Q4118 $7 [source] 4 years ago
Mclaren Greater Lansing 401 W Greenlawn Ave, Lansing Q4118 $9 [source] 4 years ago
Dmc Hutzel Women's Hospital 3990 John R Street, Detroit Q4118 $13 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, Q4118 $41 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton Q4118 $41 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne Q4118 $41 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn Q4118 $41 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn Q4118 $41 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn Q4118 $41 [source] 4 years ago
Midmichigan Medical Center Alpena , Alpena Q4118 $950 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens Q4118 $2,215 [source] 4 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor Q4118 $2,783 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak Q4118 $2,783 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant Q4118 $6,343 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak Q4118 $11,204 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak Q4118 $11,204 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak Q4118 $11,204 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak Q4118 $11,204 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak Q4118 $11,204 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak Q4118 $11,204 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak Q4118 $11,204 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak Q4118 $11,204 [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.