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PuraPly

Missouri rates for HCPCS Q4195

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

Rates data updated July 2026.

Facilitymedian $148 · 10th–90th $98$2820%20%10th90th$148Professionalmedian $100 · 10th–90th $98$1320%20%10th90th$100$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
$100.00
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$107.15
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$134.90