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Oasis Wound Matrix

Connecticut 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?

$12.30

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $33.88 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 5 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$12.30$11.75 to $14.13
FacilityA hospital or hospital-owned outpatient department$33.88$19.50 to $145

How much rates vary

Facilitymedian $34 · 10th to 90th $12 to $200Professionalmedian $12 · 10th to 90th $12 to $42
$20$50$100$200facility $34professional $12

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
Facility
Modifier
Global
Typical Low
$12.30
Median
$19.50
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$13.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$30.90
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$144.54
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$14.45
Typical High
$125.89

Where Connecticut 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.

Connecticut· 30th of 51

$12.30

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.