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PuraPly AM

Alaska rates for HCPCS Q4196

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

Rates data updated July 2026.

How much does PuraPly AM cost?

$186

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $186 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$186$102 to $302
FacilityA hospital or hospital-owned outpatient department$186$126 to $288

How much rates vary

Facilitymedian $186 · 10th to 90th $100 to $550Professionalmedian $186 · 10th to 90th $100 to $407
$100$200$500$1K$2Kfacility $186professional $186

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$158.49
Typical High
$223.87
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$288.40
Typical High
$446.68
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$245.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$363.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$125.89
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$380.19

Where Alaska sits

The same service costs 1.9 times more in Alaska than in Vermont. 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.

Alaska· 1st of 51

$186

AK $186VT $100

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.