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HYALOMATRIX

Mississippi rates for HCPCS Q4117

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

Rates data updated July 2026.

Facilitymedian $23 · 10th–90th $15$1350%20%10th90th$23Professionalmedian $25 · 10th–90th $23$1260%20%40%10th90th$25$2.0$5.0$10.0$20.0$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
$23.44
Median
$23.44
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$23.99
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$16.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$134.90
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$125.89