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North Carolina rates for HCPCS Q4197

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

Facilitymedian $178 · 10th–90th $71$3310%10%20%10th90th$178Professionalmedian $74 · 10th–90th $71$1780%50%10th90th$74$50.0$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
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$177.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$169.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$177.83
Typical High
$331.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$316.23
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$229.09
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$120.23
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$125.89
Typical High
$128.82
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69