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Matrion

Alaska rates for HCPCS Q4201

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

Rates data updated July 2026.

Facilitymedian $141 · 10th–90th $76$3720%10%20%10th90th$141Professionalmedian $182 · 10th–90th $76$4070%20%10th90th$182$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
$75.86
Median
$77.62
Typical High
$141.25
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
$75.86
Median
$120.23
Typical High
$363.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$467.74
Typical High
$741.31
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$398.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$120.23
Typical High
$363.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$380.19