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PuraPly XT

Florida rates for HCPCS Q4197

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

Rates data updated July 2026.

Facilitymedian $135 · 10th–90th $71$169,8240%20%10th90th$135Professionalmedian $71 · 10th–90th $71$1260%50%90th$71$2.0$20.0$200.0$2.0K$20.0K$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
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$83.18
AvMed
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$257.04
AvMed
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$112,201.85
Typical High
$234,422.88
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$128.82