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PuraPly

New Mexico rates for HCPCS Q4195

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

Rates data updated July 2026.

Facilitymedian $257 · 10th–90th $98$5890%5%10%10th90th$257Professionalmedian $100 · 10th–90th $98$1260%20%40%10th90th$100$100.0$500.0$2.0K$10.0K$50.0K

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
$154.88
Median
$389.05
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$128.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$229.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$269.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89