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Oasis Burn Matrix

Kansas rates for HCPCS Q4103

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

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $13$1450%20%40%10th90th$15Professionalmedian $13 · 10th–90th $13$1260%50%10th90th$13$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.88
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$15.14
Typical High
$35.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$125.89