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Iowa rates for HCPCS Q4134

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

Facilitymedian $155 · 10th–90th $129–$2570%20%40%10th90th$155Professionalmedian $135 · 10th–90th $129–$1620%50%10th90th$135$0.2$1.0$5.0$20.0$100.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $134.90 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $245.47 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $181.97 / $223.87
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $218.78 / $281.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $154.88 / $213.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $204.17 / $204.17
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $245.47 / $302.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.16 / $0.16 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $162.18