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)
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls Q4196 $22 [source] 4 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff Q4196 $68 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton Q4196 $84 [source] 4 years ago
Aspirus Medford Hospital 135 S Gibson St, Medford Q4196 $190 [source] 4 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids Q4196 $190 [source] 4 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin Q4196 $225 [source] 4 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee Q4196 $347 [source] 4 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, Q4196 $5,200 [source] 4 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau Q4196 $5,200 [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.