go back

Oasis Wound Matrix

Virginia 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 Virginia, 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 $12.59 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 8 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 $30.20
FacilityA hospital or hospital-owned outpatient department$12.59$11.75 to $19.05

How much rates vary

Facilitymedian $13 · 10th to 90th $12 to $186Professionalmedian $13 · 10th to 90th $12 to $126
$2.0$10.0$50.0$200.0facility $13professional $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
$11.75
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$13.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$51.29
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$131.83
Typical High
$239.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Medcost
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$12.88
Typical High
$22.39
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$109.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$12.88
Typical High
$17.38
Sentara
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.88
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$125.89

Where Virginia 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.

Virginia $12.59 · 20th 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.