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PuraPly

Kentucky rates for HCPCS Q4195

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

Rates data updated July 2026.

Facilitymedian $115 · 10th–90th $107$1150%50%10th$115Professionalmedian $98 · 10th–90th $98$1260%50%90th$98$20.0$50.0$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
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$102.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$114.82
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$117.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$158.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$104.71
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$141.25
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$131.83