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PuraPly

North Dakota rates for HCPCS Q4195

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

Rates data updated July 2026.

Facilitymedian $98 · 10th–90th $98$1780%50%90th$98Professionalmedian $98 · 10th–90th $81$1170%20%40%10th90th$98$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
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$190.55
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$107.15
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$125.89
Typical High
$239.88