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XCM Biologic Tissue Matrix

Nationwide rates for HCPCS Q4142

XCM biologic tissue matrix, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $155 · 10th–90th $100$4680%20%40%10th90th$155Professionalmedian $123 · 10th–90th $81$1480%50%10th90th$123$0.0$0.5$10.0$200.0$5.0K$100.0K

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
$89.13
Median
$117.49
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$134.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$269.15
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$97.72
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$125.89
Typical High
$131.83