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MatriStem MicroMatrix

Illinois rates for HCPCS Q4118

MatriStem micromatrix, 1 mg

Rates data updated July 2026.

How much does MatriStem MicroMatrix cost?

$3.16per mg

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $3.16 for each mg of this drug. The price depends on where it is billed: about $3.16 from a physician practice, and about $4.07 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$3.16
At a hospital outpatient department
$4.07

The same drug, in the same amount, costs 29% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.16$3.09 to $3.24
FacilityA hospital or hospital-owned outpatient department$4.07$3.09 to $8.13

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $20Professionalmedian $3 · 10th to 90th $3 to $3
$5$10$20$50facility $4professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$3.09
Typical High
$4.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.16
Typical High
$3.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$17.38
Typical High
$48.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$3.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$6.03
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$6.92
Typical High
$14.45
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$13.18
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$3.24
Typical High
$3.47

Where Illinois sits

The same service costs 2.8 times more in Minnesota than in Missouri. 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.

Illinois· 29th of 51

$3.16

MN $8.51MO $3.09

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.