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Kerecis Omega3

Wisconsin rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $148 · 10th–90th $68$4900%20%10th90th$148Professionalmedian $126 · 10th–90th $68$2400%20%10th90th$126$5.0$20.0$100.0$500.0$2.0K

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
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$69.18
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$199.53
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$125.89
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$69.18
Typical High
$151.36
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$177.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$218.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$208.93
Typical High
$208.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$128.82
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$69.18
Typical High
$151.36
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$245.47
Typical High
$416.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$707.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$660.69
Security Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$165.96