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PuraPly XT

Oregon rates for HCPCS Q4197

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

Rates data updated July 2026.

How much does PuraPly XT cost?

$89.13

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $70.79 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$70.79 to $229
FacilityA hospital or hospital-owned outpatient department$70.79$70.79 to $77.62

How much rates vary

Facilitymedian $71 · 10th to 90th $71 to $135Professionalmedian $126 · 10th to 90th $71 to $295
$100$200$500facility $71professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$323.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$91.20
Typical High
$263.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$245.47
Typical High
$316.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$95.50
Providence
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$281.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$199.53
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Oregon sits

The same service costs 2.2 times more in Alaska than in Tennessee. 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.

Oregon· 11th of 51

$89.13

AK $158TN $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.