Code: Q4196

Description:
Description: Puraply am, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
PURAPLY AM 8SQCM
PURAPLY AM 1SQCM
PURAPLY AM DISK 1.6SQCM
PURAPLY AM 12SQCM
Puraply 2x2 Per Sq Cm
Puraply 5x5 Per Sq Cm
Puraply 6x9 Per Sq Cm
Puraply Am 8x16 Per Sq Cm
Puraply 2x4 Per Sq Cm
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: Q4195
PURAPLY 1SQCM
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)
Massachusetts
Hospital Address Code Price Last Updated
Saint Vincent Hospital 123 Summer St., Worcester Q4196 $100 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket Q4196 $303 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston Q4196 $303 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem Q4196 $363 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain Q4196 $363 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown Q4196 $363 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls Q4196 $363 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs Q4196 $424 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge Q4196 $424 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston Q4196 $424 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich Q4196 $424 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton Q4196 $424 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont Q4196 $424 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston Q4196 $424 [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.