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Matrion

Colorado rates for HCPCS Q4201

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

Rates data updated July 2026.

Facilitymedian $100 · 10th–90th $76$2820%20%10th90th$100Professionalmedian $76 · 10th–90th $76$1700%50%90th$76$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
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$169.82
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$81.28
Typical High
$208.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$295.12
Select Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$316.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$190.55
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89