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Oasis Wound Matrix

Michigan 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 Michigan, 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 $15.85 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$12.30$11.75 to $25.70
FacilityA hospital or hospital-owned outpatient department$15.85$12.30 to $102

How much rates vary

Facilitymedian $16 · 10th to 90th $12 to $126Professionalmedian $12 · 10th to 90th $12 to $126
$5.0$10.0$20.0$50.0$100.0$200.0facility $16professional $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
$12.30
Typical High
$12.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$12.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$16.60
Typical High
$44.67
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.60
Typical High
$138.04
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$102.33
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$125.89
Typical High
$125.89

Where Michigan 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.

Michigan $12.30 · 26th 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.