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PuraPly AM

Nebraska 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?

$105

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $148 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$105$100 to $123
FacilityA hospital or hospital-owned outpatient department$148$102 to $195

How much rates vary

Facilitymedian $148 · 10th to 90th $98 to $224Professionalmedian $105 · 10th to 90th $100 to $457
$100$200$500facility $148professional $105

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
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$114.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$194.98
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$169.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$147.91
Midlands
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$123.03
Typical High
$158.49
Midlands
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$204.17
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$239.88

Where Nebraska 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.

Nebraska· 26th of 51

$105

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.