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Nationwide rates for HCPCS Q4124

OASIS ultra tri-layer wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Facilitymedian $15 · 10th–90th $3$1820%10%20%10th90th$15Professionalmedian $2 · 10th–90th $2$1260%50%90th$2$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $16.22 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $12.59 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $173.78 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $125.89 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $19.50 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $125.89 / $125.89