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PuraPly XT

Nationwide rates for HCPCS Q4197

PuraPly XT, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $102 · 10th–90th $71$4070%20%40%10th90th$102Professionalmedian $72 · 10th–90th $71$1780%50%10th90th$72$0.1$1.0$20.0$500.0$10.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$380.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$125.89
Typical High
$158.49