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Oasis Wound Matrix

Pennsylvania 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?

$12.02

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $13.80 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 9 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$12.02$11.75 to $13.18
FacilityA hospital or hospital-owned outpatient department$13.80$12.02 to $30.20

How much rates vary

Facilitymedian $14 · 10th to 90th $12 to $447Professionalmedian $12 · 10th to 90th $12 to $126
$10.0$100.0$1.0K$10.0Kfacility $14professional $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
$11.75
Median
$12.02
Typical High
$18.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$12.59
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$30.20
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$147.91
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$128.82
Typical High
$199.53
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$263.03
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$12.02
Typical High
$20.42
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$12.59
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$12.59
Typical High
$35.48
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$125.89
Typical High
$134.90

Where Pennsylvania 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.

Pennsylvania $12.02 · 32nd 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.