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Oasis Wound Matrix

Georgia 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?

$12.59

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $126 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$12.59$11.75 to $33.88
FacilityA hospital or hospital-owned outpatient department$126$11.75 to $245

How much rates vary

Facilitymedian $126 · 10th to 90th $12 to $339Professionalmedian $13 · 10th to 90th $12 to $54
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $126professional $13

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
$11.75
Median
$11.75
Typical High
$12.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$13.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$33.88
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$128.82
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$245.47
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$125.89
Typical High
$128.82

Where Georgia sits

The same service costs 5.1 times more in Minnesota than in Tennessee. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Georgia $12.59 · 18th of 51
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.