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Oasis Wound Matrix

North Dakota 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?

$26.30

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 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 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$26.30$12.02 to $31.62
FacilityA hospital or hospital-owned outpatient department$11.75$11.75 to $11.75

How much rates vary

Facilitymedian $12 · 10th to 90th $12 to $20Professionalmedian $26 · 10th to 90th $12 to $35
$5.0$20.0$100.0$500.0facility $12professional $26

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
$11.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$21.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$27.54
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$21.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.14
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$12.88
Typical High
$21.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$125.89
Typical High
$239.88

Where North Dakota 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.

North Dakota $26.30 · 5th 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.