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Oasis Wound Matrix

Iowa 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?

$13.49

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $11.75 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 7 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$13.49$11.75 to $14.45
FacilityA hospital or hospital-owned outpatient department$11.75$11.75 to $13.49

How much rates vary

Facilitymedian $12 · 10th to 90th $12 to $18Professionalmedian $13 · 10th to 90th $12 to $60
$1.0$10.0$100.0$1.0Kfacility $12professional $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
$13.49
Median
$13.49
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.49
Typical High
$17.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$223.87
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.45
Typical High
$22.91
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.49
Typical High
$29.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$13.49
Typical High
$24.55
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$24.55
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$14.45
Typical High
$16.98
Midlands
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$208.93
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$22.91
Typical High
$25.12
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$134.90
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$11.75
Typical High
$11.75

Where Iowa 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.

Iowa $13.49 · 12th 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.