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Kentucky rates for HCPCS Q4197

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

Facilitymedian $71 · 10th–90th $71$2570%50%90th$71Professionalmedian $71 · 10th–90th $71$1260%50%90th$71$20.0$50.0$100.0$200.0$500.0

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
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$85.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$112.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$75.86
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$125.89