Code: Q4119

Description:
Description: Matristem wound matrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
CYTAL WND MTRX 1LAYER 10X15CM WS1015
CYTAL WND MTRX 2LAYER 10X15CM WSM1015
CYTAL BURN MTRX MESHED 7X10CM BMM0710
CYTAL WND MTRX 1LAYER 7X10CM WS0710
CYTAL WND MATRIX 2LAYER 7X10CM WSM0710
MATRIX SURGICAL PSMT 16X20CM
MATRIX SURGICAL PSMT 20X20CM
MATRIX SURGICAL PSMT 20X25CM
MATRIX SURGICAL PSMT 20X30CM
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: Q4118
MATRISTEM MICRO 1MG 100
Michigan
Hospital Address Code Price Last Updated
Mclaren Macomb 1000 Harrington St, Mount Clemens Q4119 $15 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington Q4119 $190 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington Q4119 $190 [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.