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Oasis Burn Matrix

Nevada 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 Nevada, October 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $141 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.14$12.59 to $126
FacilityA hospital or hospital-owned outpatient department$141$126 to $191

How much rates vary

Facilitymedian $141 · 10th to 90th $120 to $288Professionalmedian $15 · 10th to 90th $13 to $126
$20$50$100$200$500$1K$2Kfacility $141professional $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
Facility
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$13.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$13.49
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$151.36
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$165.96
Typical High
$223.87
Select Health
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$131.83
Typical High
$154.88
United
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$125.89
Typical High
$128.82

Where Nevada 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.

Nevada· 33rd 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.