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
North Carolina
Hospital Address Code Price Last Updated
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q4119 $13,164 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q4119 $57,805 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q4119 $57,805 [source] 4 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q4119 $57,805 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q4119 $57,805 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q4119 $57,805 [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.