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Cygnus Matrix

Iowa rates for HCPCS Q4199

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

Rates data updated July 2026.

Facilitymedian $112 · 10th–90th $112$2690%50%90th$112Professionalmedian $123 · 10th–90th $112$1,4130%20%40%10th90th$123$0.2$1.0$5.0$20.0$100.0$500.0

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
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$338.84
Typical High
$426.58
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$223.87
Typical High
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$380.19
Typical High
$512.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$467.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$398.11
Typical High
$467.74
Midlands
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$158.49
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$112.20
Typical High
$112.20