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HYALOMATRIX

Massachusetts rates for HCPCS Q4117

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

Rates data updated July 2026.

Facilitymedian $35 · 10th–90th $28$2340%20%10th90th$35Professionalmedian $24 · 10th–90th $17$1260%20%10th90th$24$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$24.55
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$23.99
Typical High
$29.51
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$707.95
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$125.89
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$2,951.21
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$275.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$28.18
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$125.89
Typical High
$707.95
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$125.89
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.70
Typical High
$125.89