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PuraPly XT

Nevada rates for HCPCS Q4197

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

Rates data updated October 2026.

How much does PuraPly XT cost?

$126

Typical negotiated rate. In Nevada, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $195 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$77.62 to $129
FacilityA hospital or hospital-owned outpatient department$195$77.62 to $288

How much rates vary

Facilitymedian $195 · 10th to 90th $71 to $316Professionalmedian $126 · 10th to 90th $71 to $288
$100$200$500$1K$2Kfacility $195professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$77.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$77.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$35.48
Median
$35.48
Typical High
$38.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.13
Median
$14.13
Typical High
$15.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.72
Median
$10.72
Typical High
$11.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.08
Median
$7.08
Typical High
$7.76
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$288.40
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$257.04
Typical High
$257.04
Select Health
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$131.83
Typical High
$158.49
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$302.00

Where Nevada sits

The same service costs 3.6 times more in Wyoming than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nevada· 20th of 51

$126

WY $257IN $70.79

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.