Description
HCPCS: Q4205
ASP: Q4 2024: $1,310.45
This dual laver Amnion-Amnion placental membrane may be used in many different types of wounds. This versatile product allows for coverage and protection of the wound while the wound heals. It is easy to apply, especially to shallow wounds. It is applied dry and then moistened as needed for the wound environment. This product is a staple in our wound product portfolio and has a shelf life of 5 years. It is listed in the national ASP listing. Please follow local MAC LCD guidelines for use if they exist in your MAC jurisdiction.
[1] Curr Eye Res. 2000 Mar;20(3):173-7
[2] Placenta 103 (2021) 104–119
*All BioLab Sciences Membrane Wrap™ allograft tissue products have been tested for potentially infectious diseases and terminally sterilized to ensure the safety of each membrane.
