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PuraPly

Nebraska rates for HCPCS Q4195

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

Rates data updated July 2026.

Facilitymedian $155 · 10th–90th $100$2240%20%10th90th$155Professionalmedian $100 · 10th–90th $98$1290%20%40%10th90th$100$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
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$109.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$208.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$107.15
Typical High
$162.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$154.88
Midlands
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$204.17
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$154.88
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$213.80