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Cygnus Matrix

North Dakota 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$2090%50%90th$112Professionalmedian $112 · 10th–90th $93$1380%20%40%10th90th$112$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
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
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$338.84
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$165.96
Typical High
$239.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$380.19