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Nationwide rates for HCPCS Q4117

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

Facilitymedian $30 · 10th–90th $19$2090%20%10th90th$30Professionalmedian $24 · 10th–90th $21$1260%50%10th90th$24$0.1$1.0$20.0$500.0$10.0K$200.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $23.99 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $22.91 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $30.90 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $28.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $177.83 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $125.89 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $64.57 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $125.89 / $125.89