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PuraPly AM

Minnesota 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?

$107

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $251 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$107$102 to $126
FacilityA hospital or hospital-owned outpatient department$251$129 to $275

How much rates vary

Facilitymedian $251 · 10th to 90th $100 to $347Professionalmedian $107 · 10th to 90th $89 to $126
$100$200$500facility $251professional $107

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
$100.00
Median
$100.00
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$141.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$281.84
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$134.90
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$275.42
Typical High
$398.11
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$134.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$263.03

Where Minnesota 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.

Minnesota· 18th of 51

$107

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.