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PuraPly

Illinois 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 Illinois, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $224 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$126$97.72 to $126
FacilityA hospital or hospital-owned outpatient department$224$182 to $257

How much rates vary

Facilitymedian $224 · 10th to 90th $158 to $302Professionalmedian $126 · 10th to 90th $98 to $138
$100$200$500$1Kfacility $224professional $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
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$117.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$100.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.50
Median
$19.50
Typical High
$19.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.77
Median
$9.77
Typical High
$10.00
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$213.80
Typical High
$346.74
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$128.82
Typical High
$128.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$239.88
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$131.83
Hally Health
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$123.03
Typical High
$229.09
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Molina
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$169.82

Where Illinois 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.

Illinois· 16th 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.