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)
Tennessee
Hospital Address Code Price Last Updated
Riverview Regional Medical Center 158 Hospital Drive, Carthage Q4186 $187 [source] 4 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville Q4186 $345 [source] 4 years ago
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville Q4186 $347 [source] 4 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury Q4186 $347 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville Q4186 $347 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta Q4186 $347 [source] 4 years ago
Starr Regional Medical Center - Athens 1114 West Madison Ave, Athens Q4186 $790 [source] 4 years ago
Starr Regional Medical Center - Etowah 886 Highway 411 North, Etowah Q4186 $790 [source] 4 years ago
Trousdale Medical Center 500 Church Street, Hartsville Q4186 $996 [source] 4 years ago
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester Q4186 $2,539 [source] 4 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin Q4186 $2,792 [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.