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Oasis Burn Matrix

Hawaii rates for HCPCS Q4103

Oasis burn matrix, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does Oasis Burn Matrix cost?

$15.14

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $15.14 for this service. Most negotiated rates run $15.14 to $19.05.

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.

How much rates vary

Professionalmedian $15 · 10th to 90th $15 to $158
$20$50$100$200professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$13.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
HMSA
Setting
Professional
Modifier
None
Typical Low
$18.20
Median
$19.05
Typical High
$21.88
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$165.96
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$125.89
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$213.80

Where Hawaii sits

The same service costs 10.0 times more in Oregon than in Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 31st of 51

$15.14

OR $126VA $12.59

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.