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Nationwide rates for HCPCS Q4195

PuraPly, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $123.03 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $104.71 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $97.72 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $128.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $165.96 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.89 / $165.96