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Matrion

North Dakota 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$1350%50%90th$76Professionalmedian $76 · 10th–90th $63$1100%20%40%10th90th$76$50.0$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
$141.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$70.79
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$239.88