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Keramatrix or Kerasorb

Wisconsin rates for HCPCS Q4165

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

Rates data updated July 2026.

Facilitymedian $79 · 10th–90th $43$6610%20%10th90th$79Professionalmedian $126 · 10th–90th $43$3630%20%10th90th$126$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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
$53.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$251.19
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$398.11
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$128.82
Typical High
$181.97
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$64.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$53.70
Typical High
$107.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$45.71
Typical High
$64.57
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$275.42
Typical High
$416.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$707.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$144.54
Typical High
$660.69
Security Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Security Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$162.18