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PriMatrix

California rates for HCPCS Q4110

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

Rates data updated July 2026.

Facilitymedian $102 · 10th–90th $81$2570%20%40%10th90th$102Professionalmedian $69 · 10th–90th $41$1740%20%40%10th90th$69$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
$66.07
Median
$66.07
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$173.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$125.89
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$83.18
Typical High
$151.36
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$36.31
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$46.77
Typical High
$239.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$165.96
Typical High
$269.15
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$66.07
Providence
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$95.50
Typical High
$223.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$125.89
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$58.88
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$158.49