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PuraPly

Iowa rates for HCPCS Q4195

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

Rates data updated July 2026.

Facilitymedian $98 · 10th–90th $98$2040%50%90th$98Professionalmedian $98 · 10th–90th $98$1290%50%90th$98$0.1$0.5$2.0$10.0$50.0$200.0

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
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$128.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$151.36
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$107.15
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$309.03
Midlands
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$239.88
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$251.19
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$97.72