go back

PriMatrix

South Dakota rates for HCPCS Q4110

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

Rates data updated July 2026.

Facilitymedian $66 · 10th–90th $66$1120%50%90th$66Professionalmedian $66 · 10th–90th $66$1150%50%90th$66$50.0$100.0$200.0

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
$66.07
Median
$66.07
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$77.62
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$95.50
Typical High
$117.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$363.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Midlands
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$169.82
Typical High
$204.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$114.82
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07