Code: Q4186

Description:
Description: Epifix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
EPIFIX 30 SQCM
EPIFIX 8 SQCM
Epifix 2 X 4 Cm
Graft Epifix 18mm Disc Per Sq Cm
Graft Epifix 3.5 X 3.5 Per Sq Cm Mesh
Graft Epifix 4 X 4.5 Per Sq Cm Mesh
Graft Epifix 2x2 Per Sq Cm
Graft Epifix 2x3 Per Sq Cm
Graft Epifix 14mm Disc Per Sq Cm
Related codes:
Code: Q4180
REVITA 1SQCM
Code: Q4181
AMNIOWOUND 35 SQCM
Code: Q4182
Description: Transcyte, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4183
Description: Surgigraft, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4184
Description: Cellesta or cellesta duo, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4185
Description: Cellesta flowable amnion (25 mg per cc)
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4187
EPICORD 1SQCM
Code: Q4188
Description: Amnioarmor, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4189
Description: Artacent ac, 1 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Nebraska
Hospital Address Code Price Last Updated
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln Q4186 $5,722 [source] 4 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney Q4186 $5,722 [source] 4 years ago
Chi Health Lakeside 17201 Wright St, Omaha Q4186 $5,722 [source] 4 years ago
Chi Health Schuyler 1721 Colfax St, Schuyler Q4186 $5,722 [source] 4 years ago
Chi Health Midlands 11111 S 84Th St, Papillion Q4186 $5,722 [source] 4 years ago
Chi Health Plainview 704 N 3Rd St, Plainview Q4186 $5,722 [source] 4 years ago
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City Q4186 $5,722 [source] 4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha Q4186 $5,722 [source] 4 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha Q4186 $5,722 [source] 4 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island Q4186 $5,722 [source] 4 years ago
Chi Health Nebraska Heart 7500 So. 91St St., Lincoln Q4186 $5,722 [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.