Medical Procedure Costs

A2016

Permeaderm b, per sq cm

HCPCS - Transport/Supplies

$127

—

A2018

Permeaderm c, per sq cm

HCPCS - Transport/Supplies

$127

—

A2019

Kerecis marigen shld sq cm

HCPCS - Transport/Supplies

$127

—

A2021

Neomatrix per sq cm

HCPCS - Transport/Supplies

$127

—

A2022

Innovabrn/innovamatx xl sqcm

HCPCS - Transport/Supplies

$127

—

A2024

Resolve or xenopatch sq cm

HCPCS - Transport/Supplies

$127

—

A2025

Miro3d per cubic cm

HCPCS - Transport/Supplies

$127

—

A2027

Matriderm per sq cm

HCPCS - Transport/Supplies

$127

—

A2029

Mirotract matrix sheet

HCPCS - Transport/Supplies

$127

—

A2031

Mirodry, per sq cm

HCPCS - Transport/Supplies

$127

—

A2032

Myriad matrix, per sq cm

HCPCS - Transport/Supplies

$127

—

A2034

Found drs solo, per sq cm

HCPCS - Transport/Supplies

$127

—

A2036

Cohealyx col dml mx pr sq cm

HCPCS - Transport/Supplies

$127

—

A2038

Marigen pacto, per sq cm

HCPCS - Transport/Supplies

$127

—

A2039

Innovamatrix fd, per sq cm

HCPCS - Transport/Supplies

$127

—

A2040

Microlyte painguard pr sq cm

HCPCS - Transport/Supplies

$127

—

A2041

Foundation drs+ duo pr sq cm

HCPCS - Transport/Supplies

$127

—

A2042

Foundation drs+ solo, sq cm

HCPCS - Transport/Supplies

$127

—

A2043

Biobrane, per sq cm

HCPCS - Transport/Supplies

$127

—

A2045

Novashield/novogen pr sq cm

HCPCS - Transport/Supplies

$127

—

A4100

Nosht skin sub fda clrd nos

HCPCS - Transport/Supplies

$127

—

A4216

DMEPOS item A4216

HCPCS - DME

$1

—

A4217

DMEPOS item A4217

HCPCS - DME

$4

—

A4239

DMEPOS item A4239

HCPCS - DME

$273

—

A4255

DMEPOS item A4255

HCPCS - DME

$6

—

A4257

DMEPOS item A4257

HCPCS - DME

$18

—

A4265

DMEPOS item A4265

HCPCS - DME

$5

—

A4271

DMEPOS item A4271

HCPCS - DME

$34

—

A4280

DMEPOS item A4280

HCPCS - DME

$9

—

A4295

DMEPOS item A4295

HCPCS - DME

$3

—

A4296

DMEPOS item A4296

HCPCS - DME

$9

—

A4297

DMEPOS item A4297

HCPCS - DME

$10

—

A4310

DMEPOS item A4310

HCPCS - DME

$11

—

A4311

DMEPOS item A4311

HCPCS - DME

$21

—

A4312

DMEPOS item A4312

HCPCS - DME

$26

—

A4313

DMEPOS item A4313

HCPCS - DME

$26

—

A4314

DMEPOS item A4314

HCPCS - DME

$36

—

A4315

DMEPOS item A4315

HCPCS - DME

$38

—

A4316

DMEPOS item A4316

HCPCS - DME

$40

—

A4320

DMEPOS item A4320

HCPCS - DME

$8

—

A4322

DMEPOS item A4322

HCPCS - DME

$4

—

A4326

DMEPOS item A4326

HCPCS - DME

$15

—

A4327

DMEPOS item A4327

HCPCS - DME

$64

—

A4328

DMEPOS item A4328

HCPCS - DME

$15

—

A4330

DMEPOS item A4330

HCPCS - DME

$10

—

A4331

DMEPOS item A4331

HCPCS - DME

$5

—

A4332

DMEPOS item A4332

HCPCS - DME

$0

—

A4333

DMEPOS item A4333

HCPCS - DME

$3

—

A4334

DMEPOS item A4334

HCPCS - DME

$7

—

A4336

DMEPOS item A4336

HCPCS - DME

$2

—

My Cost List