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PuraPly

Alaska rates for HCPCS Q4195

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

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $98$3630%10%10th90th$182Professionalmedian $182 · 10th–90th $98$4070%10%10th90th$182$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$288.40
Typical High
$457.09
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$245.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$177.83
Typical High
$363.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$380.19