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PuraPly

Hawaii 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?

$126

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $123 to $155.

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.

How much rates vary

Professionalmedian $126 · 10th to 90th $123 to $158
$100$200professional $126

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
HMSA
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$151.36
Typical High
$158.49
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$165.96
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$125.89
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$213.80

Where Hawaii 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.

Hawaii· 13th of 51

$126

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.