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Cygnus Matrix

Montana rates for HCPCS Q4199

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

Rates data updated July 2026.

Facilitymedian $339 · 10th–90th $138$4790%20%40%10th90th$339Professionalmedian $126 · 10th–90th $112$4270%20%40%10th90th$126$100.0$200.0$500.0$1.0K

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
$123.03
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$380.19
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$616.60
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$616.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89