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Matrion

Iowa rates for HCPCS Q4201

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

Rates data updated July 2026.

Facilitymedian $76 · 10th–90th $76$2090%50%90th$76Professionalmedian $79 · 10th–90th $76$4680%20%40%10th90th$79$0.1$0.5$2.0$10.0$50.0$200.0$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
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$125.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$128.82
Typical High
$275.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$109.65
Typical High
$354.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$204.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$208.93
Midlands
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$141.25
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$75.86