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PuraPly AM

New York 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?

$102

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $102 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 9 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$102$100 to $126
FacilityA hospital or hospital-owned outpatient department$102$100 to $138

How much rates vary

Facilitymedian $102 · 10th to 90th $100 to $195Professionalmedian $102 · 10th to 90th $100 to $182
$100$200$500$1Kfacility $102professional $102

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
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$194.98
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$117.49
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$501.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$239.88
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$104.71
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$104.71
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$218.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$112.20
Univera
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$104.71

Where New York 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.

New York· 34th of 51

$102

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.