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Cygnus Matrix

Wisconsin rates for HCPCS Q4199

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

Rates data updated July 2026.

Facilitymedian $204 · 10th–90th $112$9330%20%10th90th$204Professionalmedian $135 · 10th–90th $112$7080%20%10th90th$135$5.0$20.0$100.0$500.0$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
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$114.82
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$933.25
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$426.58
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$114.82
Typical High
$251.19
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$478.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$380.19
Network Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$380.19
Typical High
$616.60
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$114.82
Typical High
$251.19
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$707.95
Quartz
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$933.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$398.11
Typical High
$1,230.27
Security Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$169.82