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Integra Bilayer Matrix Wound Dressing

Nebraska 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 Nebraska, 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 $57.54 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$52.48$51.29 to $64.57
FacilityA hospital or hospital-owned outpatient department$57.54$51.29 to $145

How much rates vary

Facilitymedian $58 · 10th to 90th $49 to $229Professionalmedian $52 · 10th to 90th $51 to $120
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $58professional $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
$51.29
Median
$51.29
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$54.95
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$190.55
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$63.10
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$104.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$53.70
Typical High
$81.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$60.26
Typical High
$79.43
Midlands
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$204.17
Typical High
$309.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$141.25

Where Nebraska 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.

Nebraska $52.48 · 19th 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.