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Integra Bilayer Matrix Wound Dressing

Michigan 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?

$60.26

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $60.26 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $2,399 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$52.48 to $126
FacilityA hospital or hospital-owned outpatient department$2,399$2,291 to $3,715

How much rates vary

Facilitymedian $2,399 · 10th to 90th $135 to $5,370Professionalmedian $59 · 10th to 90th $51 to $126
$100$1K$10Kfacility $2,399professional $59

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
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$2,570.40
Typical High
$5,888.44
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$75.86
Median
$134.90
Typical High
$151.36
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$52.48
Typical High
$67.61
Priority Health
Setting
Professional
Modifier
None
Typical Low
$12.88
Median
$12.88
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Michigan 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.

Michigan· 42nd of 51

$60.26

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.