Procurement comparison · Updated 2026-06-28
EpiFix vs. Kindr
EpiFix (dHACM) · MIMEDX · Q4186 / Q4145
Kindr Health's amniotic allograft line is offered in both ambient-stable lyophilized and cryopreserved formats with multi-source supply continuity. The comparison below focuses strictly on supply chain, storage, and billing attributes — not clinical efficacy.
Supply chain & storage
- Storage
- EpiFix: ambient (lyophilized). Kindr lyophilized line: ambient.
- Shelf life
- EpiFix: 5 years ambient. Kindr lyophilized: 3–5 years ambient.
- Cold chain risk
- Both formats avoid cold chain risk when shipped/stored ambient.
- Sizes
- Both offer standard graft sizes from 1.0 cm² through larger sheet configurations.
Billing & reimbursement
- Q-code
- EpiFix sheet: Q4145. EpiFix Injectable: Q4186.
- Payment basis
- ASP+6% in physician office; OPPS APC packaged in HOPD.
- LCD notes
- Most MAC LCDs cover dHACM for chronic DFU and VLU after 4 weeks of failed standard care. Confirm jurisdiction-specific frequency limits.
Procurement takeaway
On supply chain and billing pathway, EpiFix and Kindr's lyophilized amniotic line are operationally similar — both ambient-stable, both Q-coded. Procurement teams should evaluate on contract price, GPO availability, and second-source supply continuity.
Run side-by-side TCO →Other comparisons
Comparison data drawn from publicly available manufacturer IFUs, product labels, and CMS HCPCS files as of 2026-06-28. Trademarks belong to their respective owners. No clinical superiority is claimed or implied. Verify all data against current manufacturer documentation before procurement decisions.