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)
Missouri
Hospital Address Code Price Last Updated
Lafayette Regional Health Center 1500 State Street, Lexington Q4196 $260 [source] 4 years ago
Hedrick Medical Center 2799 N Washington St, Chillicothe Q4196 $334 [source] 4 years ago
Saint Luke’s North Hospital 5830 Nw Barry Rd, Kansas City Q4196 $338 [source] 4 years ago
Saint Luke’s Hospital 4401 Wornall Rd, Kansas City Q4196 $538 [source] 4 years ago
Saint Luke’s East Hospital 100 Ne Saint Luke's Blvd, Lees Summit Q4196 $546 [source] 4 years ago
Lee's Summit Medical Center 2100 Se Blue Parkway, Lees Summit Q4196 $563 [source] 4 years ago
Centerpoint Medical Center 19600 East 39Th Street, Independence Q4196 $703 [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.