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PriMatrix

Montana rates for HCPCS Q4110

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

Rates data updated July 2026.

Facilitymedian $69 · 10th–90th $40$1820%50%10th90th$69Professionalmedian $72 · 10th–90th $66$1260%50%10th90th$72$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Professional
Modifier
Global
Typical Low
$66.07
Median
$72.44
Typical High
$81.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$125.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$67.61
Typical High
$75.86
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$67.61
Typical High
$75.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$72.44
Typical High
$181.97
Providence
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$79.43
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89