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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 July 2026.

Facilitymedian $71 · 10th–90th $71$1450%50%90th$71Professionalmedian $71 · 10th–90th $71$1320%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
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$302.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$128.82
Typical High
$128.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$204.17