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HYALOMATRIX

Wyoming rates for HCPCS Q4117

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

Rates data updated October 2026.

How much does HYALOMATRIX cost?

$28.84

Typical negotiated rate. In Wyoming, October 2026.

Insurers have agreed to pay about $28.84 for this service. Most negotiated rates run $27.54 to $32.36.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $302 · 10th to 90th $23 to $479Professionalmedian $29 · 10th to 90th $25 to $155
$50$100$200$500facility $302professional $29

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$22.91
Median
$22.91
Typical High
$23.99
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$28.84
Typical High
$32.36
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.98
Median
$19.95
Typical High
$22.91
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$302.00
Typical High
$478.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$181.97
Typical High
$181.97
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Wyoming sits

The same service costs 8.3 times more in North Dakota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wyoming· 32nd of 51

$28.84

ND $141KY $16.98

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.