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Keramatrix or Kerasorb

Virginia 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?

$45.71

Typical negotiated rate. In Virginia, July 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 $47.86 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 8 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$45.71$42.66 to $53.70
FacilityA hospital or hospital-owned outpatient department$47.86$45.71 to $72.44

How much rates vary

Facilitymedian $48 · 10th to 90th $39 to $195Professionalmedian $46 · 10th to 90th $43 to $126
$10$20$50$100$200facility $48professional $46

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
$45.71
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$45.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$89.13
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$3,801.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$89.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$53.70
Typical High
$109.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$33.88
Typical High
$43.65
Sentara
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.88
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Virginia 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.

Virginia· 24th of 51

$45.71

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.