# HCPCS Q4102: Oasis wound matrix, per sq cm

Medicare HCPCS Q4102 pays $127.26 in a non-facility setting and $127.26 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $109.31 in Arkansas to $150.58 in California, a 38% spread.

Web page: https://www.med-reveal.com/rates/Q4102-hcpcs-fee-schedule
Section: Drugs and Biologicals

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $127.26 |
| National facility | $127.26 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| California | $150.58 | $150.58 |
| District of Columbia | $149.91 | $149.91 |
| Washington | $145.07 | $145.07 |
| Hawaii | $144.69 | $144.69 |
| New Jersey | $143.30 | $143.30 |
| Massachusetts | $142.98 | $142.98 |
| New York | $141.97 | $141.97 |
| Connecticut | $137.06 | $137.06 |
| Alaska | $135.53 | $135.53 |
| Colorado | $135.40 | $135.40 |
| Oregon | $134.07 | $134.07 |
| Maryland | $132.67 | $132.67 |
| New Hampshire | $132.47 | $132.47 |
| Rhode Island | $131.46 | $131.46 |
| Minnesota | $130.95 | $130.95 |
| Puerto Rico | $128.66 | $128.66 |
| Virgin Islands | $128.66 | $128.66 |
| Florida | $127.68 | $127.68 |
| Nevada | $127.38 | $127.38 |
| Montana | $127.26 | $127.26 |
| North Dakota | $127.26 | $127.26 |
| South Dakota | $127.26 | $127.26 |
| Wyoming | $127.26 | $127.26 |
| Vermont | $125.98 | $125.98 |
| Delaware | $125.73 | $125.73 |
| Texas | $125.29 | $125.29 |
| Virginia | $125.09 | $125.09 |
| Pennsylvania | $124.65 | $124.65 |
| Arizona | $123.31 | $123.31 |
| Illinois | $122.96 | $122.96 |
| Wisconsin | $121.91 | $121.91 |
| Maine | $121.60 | $121.60 |
| Georgia | $121.40 | $121.40 |
| Utah | $119.62 | $119.62 |
| Michigan | $119.50 | $119.50 |
| North Carolina | $118.73 | $118.73 |
| Indiana | $117.97 | $117.97 |
| South Carolina | $117.59 | $117.59 |
| Nebraska | $117.46 | $117.46 |
| Idaho | $117.08 | $117.08 |
| Missouri | $116.78 | $116.78 |
| New Mexico | $116.70 | $116.70 |
| Iowa | $116.44 | $116.44 |
| Louisiana | $116.19 | $116.19 |
| Ohio | $116.19 | $116.19 |
| Tennessee | $115.68 | $115.68 |
| Kansas | $115.04 | $115.04 |
| Oklahoma | $113.64 | $113.64 |
| Kentucky | $113.13 | $113.13 |
| Alabama | $111.35 | $111.35 |
| West Virginia | $110.59 | $110.59 |
| Mississippi | $109.57 | $109.57 |
| Arkansas | $109.31 | $109.31 |

## Related codes

- Q4100: Skin substitute, not otherwise specified — https://www.med-reveal.com/rates/Q4100-hcpcs-fee-schedule
- Q4101: Apligraf, per sq cm — https://www.med-reveal.com/rates/Q4101-hcpcs-fee-schedule
- Q4106: Dermagraft, per sq cm — https://www.med-reveal.com/rates/Q4106-hcpcs-fee-schedule
- Q4107: GraftJacket, per sq cm — https://www.med-reveal.com/rates/Q4107-hcpcs-fee-schedule
- Q4116: AlloDerm, per sq cm — https://www.med-reveal.com/rates/Q4116-hcpcs-fee-schedule
- Q4121: TheraSkin, per sq cm — https://www.med-reveal.com/rates/Q4121-hcpcs-fee-schedule
- Q4131: EpiFix/EpiCord, per sq cm — https://www.med-reveal.com/rates/Q4131-hcpcs-fee-schedule
- Q4151: AmnioBand/Guardian, per sq cm — https://www.med-reveal.com/rates/Q4151-hcpcs-fee-schedule

Commercial negotiated rates for Q4102 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules