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Keramatrix or Kerasorb

Indiana 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 Indiana, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $257 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 4 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$42.66$42.66 to $45.71
FacilityA hospital or hospital-owned outpatient department$257$135 to $380

How much rates vary

Facilitymedian $257 · 10th to 90th $43 to $513Professionalmedian $43 · 10th to 90th $43 to $126
$0.1$1$10$100facility $257professional $43

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
$42.66
Typical High
$45.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$295.12
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$33.88
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04

Where Indiana 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.

Indiana· 42nd 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.