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Oasis Wound Matrix

Alaska rates for HCPCS Q4102

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

Rates data updated July 2026.

How much does Oasis Wound Matrix cost?

$21.88

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $14.79 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$12.02 to $295
FacilityA hospital or hospital-owned outpatient department$14.79$11.75 to $28.18

How much rates vary

Facilitymedian $15 · 10th to 90th $12 to $178Professionalmedian $52 · 10th to 90th $12 to $407
$10$50$200$1Kfacility $15professional $52

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.02
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$14.13
Typical High
$31.62
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$302.00
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$19.05
Typical High
$38.02
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$14.79
Typical High
$16.22
Providence
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$14.79
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$60.26
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$190.55
Typical High
$380.19

Where Alaska sits

The same service costs 5.1 times more in Minnesota than in Tennessee. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 6th of 51

$21.88

MN $60.26TN $11.75

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.