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)
Michigan
Hospital Address Code Price Last Updated
Karmanos Cancer Institute 4100 John R St, Detroit Q4196 $99 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren Q4196 $137 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester Q4196 $158 [source] 4 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe Q4196 $180 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak Q4196 $180 [source] 4 years ago
Aspirus Iron River Hospital 1400 W Ice Lake Rd, Iron River Q4196 $190 [source] 4 years ago
Aspirus Keweenaw Hospital 205 Osceola Street, Calumet Q4196 $190 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield Q4196 $239 [source] 4 years ago
Mclaren Lapeer Region 1375 N Main St, Lapeer Q4196 $260 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren Q4196 $268 [source] 4 years ago
Aspirus Ironwood Hospital N10565 Grandview Ln, Ironwood Q4196 $322 [source] 4 years ago
Dmc Hutzel Women's Hospital 3990 John R Street, Detroit Q4196 $349 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint Q4196 $388 [source] 4 years ago
Dmc Sinai-Grace Hospital 6071 West Outer Drive, Detroit Q4196 $447 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn Q4196 $620 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak Q4196 $620 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak Q4196 $620 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, Q4196 $620 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak Q4196 $620 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy Q4196 $620 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak Q4196 $620 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy Q4196 $620 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak Q4196 $620 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington Q4196 $620 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn Q4196 $620 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn Q4196 $620 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne Q4196 $620 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington Q4196 $620 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton Q4196 $620 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor Q4196 $620 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak Q4196 $620 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak Q4196 $620 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy Q4196 $620 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak Q4196 $620 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette Q4196 $1,431 [source] 4 years ago
Midmichigan Medical Center West Branch , West Branch Q4196 $7,590 [source] 4 years ago
Mclaren Thumb Region 1100 S Van Dyke Rd, Bad Axe Q4196 $9,058 [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 §180.