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Keramatrix or Kerasorb

Michigan rates for HCPCS Q4165

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

Rates data updated October 2026.

How much does Keramatrix or Kerasorb cost?

$117

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $135 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$117$42.66 to $126
FacilityA hospital or hospital-owned outpatient department$135$42.66 to $135

How much rates vary

Facilitymedian $135 · 10th to 90th $36 to $347Professionalmedian $117 · 10th to 90th $43 to $148
$10$20$50$100$200facility $135professional $117

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
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$10.96
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$32.36
Median
$134.90
Typical High
$346.74
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$117.49
Typical High
$154.88
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Health Alliance Plan
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Priority Health
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$10.96
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Michigan sits

The same service costs 6.3 times more in North Dakota than in Hawaii. 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.

Michigan· 30th of 51

$117

ND $182HI $28.84

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.