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Keramatrix or Kerasorb

Iowa rates for HCPCS Q4165

Keramatrix or Kerasorb, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does Keramatrix or Kerasorb cost?

$44.67

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $30.20 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$44.67$42.66 to $115
FacilityA hospital or hospital-owned outpatient department$30.20$30.20 to $36.31

How much rates vary

Facilitymedian $30 · 10th to 90th $30 to $126Professionalmedian $45 · 10th to 90th $43 to $135
$50$100$200facility $30professional $45

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$44.67
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$181.97
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$199.53
Typical High
$275.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$134.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$138.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$30.20
Typical High
$30.20

Where Iowa sits

The same service costs 3.0 times more in Wisconsin than in New York. 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.

Iowa· 45th of 51

$44.67

WI $126NY $42.66

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.