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Integra Bilayer Matrix Wound Dressing

Kansas 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?

$52.48

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $75.86 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 5 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$52.48$39.81 to $61.66
FacilityA hospital or hospital-owned outpatient department$75.86$60.26 to $102

How much rates vary

Facilitymedian $76 · 10th to 90th $54 to $155Professionalmedian $52 · 10th to 90th $40 to $126
$20.0$50.0$100.0$200.0$500.0facility $76professional $52

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
$60.26
Median
$60.26
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$81.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$53.70
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$125.89

Where Kansas 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.

Kansas $52.48 · 22nd 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.