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Keramatrix or Kerasorb

New York 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?

$42.66

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $42.66 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 9 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$33.88 to $45.71
FacilityA hospital or hospital-owned outpatient department$42.66$31.62 to $138

How much rates vary

Facilitymedian $43 · 10th to 90th $31 to $174Professionalmedian $43 · 10th to 90th $28 to $126
$20$50$100$200$500$1K$2Kfacility $43professional $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
$37.15
Median
$42.66
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$44.67
Typical High
$45.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.88
Typical High
$57.54
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$33.11
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$165.96
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$131.83
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$138.04
Typical High
$338.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$239.88
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$31.62
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$31.62
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$30.90
Typical High
$165.96
Univera
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$31.62
Univera
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$31.62

Where New York 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.

New York· 51st of 51

$42.66

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.