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HMatrix

Wisconsin rates for HCPCS Q4134

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

Rates data updated July 2026.

Facilitymedian $170 · 10th–90th $129$7080%20%10th90th$170Professionalmedian $162 · 10th–90th $126$3390%20%40%10th90th$162$5.0$20.0$100.0$500.0$2.0K

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
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$489.78
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$223.87
Typical High
$316.23
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$199.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$199.53
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$416.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$707.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$660.69
Security Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Security Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36