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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 July 2026.

How much does Integra Bilayer Matrix Wound Dressing cost?

$77.62

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $51.29 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 7 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$81.28$51.29 to $81.28
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 $81 · 10th to 90th $51 to $126
$0.1$1.0$10.0$100.0facility $51professional $81

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
$51.29
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$81.28
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$223.87
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$63.10
Typical High
$83.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$51.29
Typical High
$93.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$61.66
Typical High
$91.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$53.70
Typical High
$100.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$61.66
Typical High
$67.61
Midlands
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$208.93
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$83.18
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$134.90
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$51.29
Typical High
$51.29

Where Iowa sits

The same service costs 2.0 times more in Minnesota than in Tennessee. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $77.62 · 5th of 51
MN $102TN $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.