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PuraPly

Kansas rates for HCPCS Q4195

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

Rates data updated July 2026.

Facilitymedian $126 · 10th–90th $102$3090%10%20%10th90th$126Professionalmedian $105 · 10th–90th $98$1380%20%10th90th$105$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
$114.82
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$309.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$107.15
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89