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Integra Bilayer Matrix Wound Dressing

Missouri 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?

$67.61

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $83.18 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 6 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$66.07$51.29 to $126
FacilityA hospital or hospital-owned outpatient department$83.18$52.48 to $135

How much rates vary

Facilitymedian $83 · 10th to 90th $51 to $209Professionalmedian $66 · 10th to 90th $51 to $141
$20$50$100$200facility $83professional $66

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
$52.48
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$97.72
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$69.18
Typical High
$154.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$53.70
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$125.89
Typical High
$125.89

Where Missouri sits

The same service costs 2.0 times more in Minnesota than in Tennessee. 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.

Missouri· 7th of 51

$67.61

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.