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PuraPly AM

Maine 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?

$100

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $100 to $105.

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.

How much rates vary

Facilitymedian $145 · 10th to 90th $87 to $363Professionalmedian $100 · 10th to 90th $100 to $126
$100$200facility $145professional $100

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$104.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$123.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$125.89

Where Maine 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.

Maine· 47th of 51

$100

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.