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Oasis Wound Matrix

Kentucky rates for HCPCS Q4102

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

Rates data updated October 2026.

How much does Oasis Wound Matrix cost?

$11.75

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $11.75 from a physician practice, and about $14.13 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11.75$11.75 to $115
FacilityA hospital or hospital-owned outpatient department$14.13$11.75 to $16.60

How much rates vary

Facilitymedian $14 · 10th to 90th $12 to $158Professionalmedian $12 · 10th to 90th $9 to $126
$10$20$50$100$200$500facility $14professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Aetna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$14.13
Typical High
$14.13
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$11.75
Typical High
$12.88
CareSource
Setting
Facility
Modifier
None
Typical Low
$11.75
Median
$11.75
Typical High
$19.05
CareSource
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$12.59
Typical High
$16.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$158.49
Typical High
$309.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$125.89
Typical High
$616.60
Molina
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$125.89

Where Kentucky sits

The same service costs 10.7 times more in West Virginia than in Maryland. 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.

Kentucky· 49th of 51

$11.75

WV $126MD $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.