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PuraPly

Indiana rates for HCPCS Q4195

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

Rates data updated July 2026.

Facilitymedian $191 · 10th–90th $100$5130%5%10%10th90th$191Professionalmedian $100 · 10th–90th $98$1260%20%40%10th90th$100$100.0$200.0$500.0

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
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$213.80
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$158.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04