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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 October 2026.

How much does PuraPly cost?

$182

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $288 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$182 to $195
FacilityA hospital or hospital-owned outpatient department$288$219 to $398

How much rates vary

Facilitymedian $288 · 10th to 90th $182 to $550Professionalmedian $182 · 10th to 90th $126 to $309
$100$200$500$1Kfacility $288professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$50.12
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.95
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.14
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.00
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$316.23
Typical High
$933.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$181.97
Typical High
$263.03
Moda Health
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$407.38
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$288.40
Typical High
$457.09
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$204.17
Typical High
$245.47
Providence
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$302.00
Typical High
$933.25
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$125.89
Typical High
$128.82
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$190.55
Typical High
$346.74

Where Alaska sits

The same service costs 2.0 times more in Alaska than in North 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.

Alaska· 1st of 51

$182

AK $182NC $89.13

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.