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PuraPly or PuraPly AM

Wisconsin rates for HCPCS Q4172

Puraply or puraply am

Rates data updated July 2026.

How much does PuraPly or PuraPly AM cost?

$115

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $479 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$74.13 to $115
FacilityA hospital or hospital-owned outpatient department$479$204 to $603

How much rates vary

Facilitymedian $479 · 10th to 90th $174 to $603Professionalmedian $95 · 10th to 90th $72 to $132
$100$200$500facility $479professional $95

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$131.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$602.56
Quartz
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Security Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$117.49

Where Wisconsin sits

The same service costs 20.0 times more in Missouri than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 11th of 32

$115

MO $603SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.