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)
Tennessee
Hospital Address Code Price Last Updated
Riverview Regional Medical Center 158 Hospital Drive, Carthage Q4195 $80 [source] 4 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin Q4195 $200 [source] 4 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville Q4195 $222 [source] 4 years ago
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville Q4195 $244 [source] 4 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury Q4195 $244 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville Q4195 $244 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta Q4195 $244 [source] 4 years ago
Trousdale Medical Center 500 Church Street, Hartsville Q4195 $427 [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.