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PuraPly

Virginia rates for HCPCS Q4195

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

Rates data updated October 2026.

How much does PuraPly cost?

$126

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $195 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$105 to $166
FacilityA hospital or hospital-owned outpatient department$195$135 to $288

How much rates vary

Facilitymedian $195 · 10th to 90th $102 to $912Professionalmedian $126 · 10th to 90th $98 to $166
$100$200$500$1K$2K$5K$10Kfacility $195professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$102.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$48.98
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.50
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.79
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.77
Median
$10.23
Typical High
$10.23
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$190.55
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
CareFirst
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$223.87
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$158.49
Typical High
$213.80
Medcost
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$162.18
Medcost
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$109.65
Typical High
$194.98
Sentara
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$181.97
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$134.90
Typical High
$251.19
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Virginia sits

The same service costs 2.0 times more in Alaska than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 18th of 51

$126

AK $182NC $89.13

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.