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Matrion

Nebraska rates for HCPCS Q4201

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

Rates data updated July 2026.

Facilitymedian $117 · 10th–90th $78$2290%20%10th90th$117Professionalmedian $79 · 10th–90th $76$1260%20%40%10th90th$79$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
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$87.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$104.71
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$158.49
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
$97.72
Typical High
$128.82
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$309.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$263.03