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Integra Bilayer Matrix Wound Dressing

Iowa rates for HCPCS Q4104

Integra bilayer matrix wound dressing (BMWD), per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does Integra Bilayer Matrix Wound Dressing cost?

$58.88

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $60.26 from a physician practice, and about $51.29 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$60.26$51.29 to $126
FacilityA hospital or hospital-owned outpatient department$51.29$51.29 to $81.28

How much rates vary

Facilitymedian $51 · 10th to 90th $51 to $81Professionalmedian $60 · 10th to 90th $48 to $191
$20$50$100$200facility $51professional $60

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
$51.29
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$81.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$223.87
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$151.36
Typical High
$190.55
Hally Health
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$51.29
Typical High
$93.33
Medica
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$64.57
Typical High
$81.28
Medica
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$56.23
Typical High
$229.09
Midlands
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$190.55
Typical High
$190.55
Midlands
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$208.93
Typical High
$269.15
Midlands
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$79.43
Typical High
$95.50
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90
Wellmark
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Wellmark
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29

Where Iowa sits

The same service costs 2.5 times more in Florida than in Indiana. 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.

Iowa· 43rd of 51

$58.88

FL $126IN $51.29

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.