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PuraPly AM

Oregon 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?

$117

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $100 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 8 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$126$102 to $224
FacilityA hospital or hospital-owned outpatient department$100$97.72 to $112

How much rates vary

Facilitymedian $100 · 10th to 90th $98 to $191Professionalmedian $126 · 10th to 90th $100 to $288
$100$200$500facility $100professional $126

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
$117.49
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$147.91
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$323.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$223.87
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$316.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$112.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$269.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$223.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$588.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Oregon 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.

Oregon· 9th of 51

$117

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.