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HYALOMATRIX

Colorado rates for HCPCS Q4117

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

Rates data updated July 2026.

Facilitymedian $29 · 10th–90th $17$1950%20%10th90th$29Professionalmedian $24 · 10th–90th $17$1260%50%10th90th$24$20.0$50.0$100.0$200.0$500.0$1.0K

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
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$23.99
Typical High
$27.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$144.54
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$25.12
Typical High
$45.71
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$190.55
Typical High
$213.80
Select Health
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$208.93
Typical High
$281.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$208.93
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89