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HYALOMATRIX

New Mexico rates for HCPCS Q4117

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

Rates data updated July 2026.

Facilitymedian $39 · 10th–90th $17$2090%10%10th90th$39Professionalmedian $24 · 10th–90th $23$1260%50%10th90th$24$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
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$23.99
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$18.62
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$28.84
Typical High
$204.17
Providence
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89