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PuraPly

Minnesota rates for HCPCS Q4195

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

Rates data updated July 2026.

Facilitymedian $240 · 10th–90th $100$3240%20%10th90th$240Professionalmedian $107 · 10th–90th $85$1260%20%40%10th90th$107$0.2$1.0$5.0$20.0$100.0$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
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$154.88
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$269.15
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$128.82
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$263.03
Typical High
$380.19
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$263.03