Code: Q4195

Description:
Description: Puraply, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
PURAPLY 54SQCM
PURAPLY PER SQ CM
PURAPLY SKIN GRAFT SUBSTITUTE SQ CM JW
PURAPLY AM 6X9 54 SQ CM
PURAPLY AM 2X4 8SQ CM
PURAPLY AM 2X2 45 SQ CM
PURAPLY AM 5X5 25 SQ CM
HC PURAPY COLLAGEN PER SQ CM
PURAPLY 1SQCMJW
Related codes:
Code: Q4190
Description: Artacent ac, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4191
Description: Restorigin, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4192
Description: Restorigin, 1 cc
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4193
Description: Coll-e-derm, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4194
Description: Novachor, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4196
PURAPLY AM 25SQCM
Code: Q4197
Description: Puraply xt, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q4198
Description: Genesis amniotic membrane, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Michigan
Hospital Address Code Price Last Updated
St. John Providence 28000 Dequindre Rd, Warren Q4195 $137 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester Q4195 $158 [source] 4 years ago
Aspirus Iron River Hospital 1400 W Ice Lake Rd, Iron River Q4195 $190 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield Q4195 $239 [source] 4 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer Q4195 $260 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren Q4195 $268 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor Q4195 $401 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton Q4195 $401 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne Q4195 $401 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn Q4195 $401 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn Q4195 $401 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn Q4195 $401 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, Q4195 $401 [source] 4 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma Q4195 $8,238 [source] 4 years ago
Midmichigan Medical Center Gladwin , Gladwin Q4195 $20,642 [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.