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Oasis Wound Matrix

South Carolina 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?

$12.59

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.59 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 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$12.59$11.75 to $12.88
FacilityA hospital or hospital-owned outpatient department$13.80$12.59 to $21.38

How much rates vary

Facilitymedian $14 · 10th to 90th $12 to $182Professionalmedian $13 · 10th to 90th $12 to $126
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $14professional $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
$12.59
Median
$12.59
Typical High
$16.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.30
Typical High
$12.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$7.76
Typical High
$31.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$39.81
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$13.49
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$125.89

Where South Carolina 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.

South Carolina $12.59 · 19th 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.