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Cygnus Matrix

Alaska rates for HCPCS Q4199

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

Rates data updated July 2026.

Facilitymedian $178 · 10th–90th $112$5250%20%10th90th$178Professionalmedian $209 · 10th–90th $112$5130%20%10th90th$209$100.0$200.0$500.0$1.0K$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
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$363.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$660.69
Typical High
$1,047.13
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$562.34
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$363.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$380.19