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Matrion

Hawaii rates for HCPCS Q4201

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

Rates data updated July 2026.

Professionalmedian $79 · 10th–90th $76$1450%20%40%10th90th$79$100.0$200.0

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
$75.86
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$128.82
HMSA
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$128.82