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PuraPly

Oregon 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 $89$1820%50%10th90th$98Professionalmedian $126 · 10th–90th $98$2750%10%20%10th90th$126$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$323.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$134.90
Typical High
$229.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$251.19
Typical High
$316.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$97.72
Typical High
$97.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$162.18
Typical High
$263.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$218.78
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$588.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89