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Keramatrix or Kerasorb

New Jersey 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?

$45.71

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $288 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$45.71$30.90 to $126
FacilityA hospital or hospital-owned outpatient department$288$158 to $14,454

How much rates vary

Facilitymedian $288 · 10th to 90th $126 to $20,893Professionalmedian $46 · 10th to 90th $31 to $126
$100$1K$10Kfacility $288professional $46

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
$45.71
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.88
Median
$22.39
Typical High
$22.39
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.91
Median
$9.12
Typical High
$9.12
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$33.11
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.61
Median
$6.76
Typical High
$6.76
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.47
Median
$4.57
Typical High
$4.57
Cigna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$169.82
Typical High
$257.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$30.90
Typical High
$194.98
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$12,882.50
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$141.25

Where New Jersey 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.

New Jersey· 41st of 51

$45.71

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.