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Matrion

Minnesota rates for HCPCS Q4201

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

Rates data updated July 2026.

Facilitymedian $219 · 10th–90th $79$2880%10%20%10th90th$219Professionalmedian $107 · 10th–90th $74$1260%20%10th90th$107$0.2$1.0$5.0$20.0$100.0$500.0

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
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
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$128.82
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$234.42
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$102.33
Typical High
$112.20
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$223.87
Typical High
$331.13
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$251.19