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PuraPly XT

Colorado rates for HCPCS Q4197

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

Rates data updated July 2026.

Facilitymedian $91 · 10th–90th $71$2750%20%40%10th90th$91Professionalmedian $71 · 10th–90th $71$1780%50%90th$71$100.0$200.0$500.0$1.0K

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
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$85.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$144.54
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$75.86
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$436.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$281.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89