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Nationwide rates for HCPCS Q4197

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $89.13 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $70.79 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $120.23 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $125.89 / $251.19